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:
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
At TexCon Home Care, our mission is to empower seniors to live safely, comfortably, and independently at home—surrounded by dignity, compassion, and respect. We are a family-based organization that believes care begins...
At Shepherd’s Touch Home Care LLC, we believe compassionate care feels like a guiding hand. Our caring caregivers provide warm, individualized assistance—from daily living support to soothing companionship and...
Azaria's Home Assistant Agency is committed to providing compassionate, trained caregivers who deliver individualized care plans in Houston, enhancing comfort and independence for our clients in need.
At Home Matters, we’ve made it our mission to provide high quality care for seniors that allow our clients to remain safe, comfortable, and independent at home. Our approach is unique, based on years of research in the...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
One You Love Homecare of North, South, and West Houston proudly serves the seniors across Houston, including Sugar Land, Missouri City, Katy, Richmond, Fulshear, Cypress, Spring, The Woodlands, Fresno, Pearland,...
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...
We take pride in serving Cypress, TX and its surrounding areas. Our dedicated caregivers not only provide exceptional in-home care services, but also create meaningful connections by learning their preferences and...
Oceanside Health Services llc was created by a devoted Registered Nurse whose greatest passion is helping people feel better and live healthier lives. Guided by compassion and clinical expertise, we deliver exceptional,...
I created Joy because I thought health care at home could be better and should be pushing innovation forward. I believe you should age on your own terms, and for most, that is your home. What makes Joy different is that I...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
A Hug Away Healthcare, Inc. is not just a brick-and-mortar company; we are one of the best Female Owned healthcare agencies in Katy and Houston (Texas), with a comprehensive team of professional experts with over 35 years...
Home Care Team of Texas LLC provides compassionate, personalized non-medical care to seniors and individuals who need support with daily living. Our experienced caregivers are dedicated to promoting independence, safety,...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. Right at Home Houston believes there’s...
At Griswold Home Care for Richmond & Rosenberg, serving the Fort Bend County area, we offer compassionate in-home care for those who want support to live where they love. We are an award-winning pioneer in the non-medical...
Touching Hearts at Home offers an array of home care services for seniors, people living with medical conditions or disabilities, those in transition from hospital to home, and anyone over the age of 18 who can benefit...
Appointed Time Health Care delivers timely, compassionate in-home support that helps clients stay safe, comfortable, and independent. Their caregivers provide reliable daily assistance tailored to each person’s...
Devoted Guardians Home Health LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devoted Helping Hands is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Community Support LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Touch Home Health Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CHAIRO CAREGIVING SOLUTIONS LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fredrick's Home Health Agency LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Wellness LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome! We would like to introduce ourselves and our company. Home Helpers® is a franchise that has been in the care-giving business for over fifteen years and has been operating for eighteen months in the Greater Katy...
At Angel Heart Homecare, we believe that genuine care comes from the heart. Our experienced caregivers offer compassionate, individualized support—helping clients with daily tasks, emotional companionship, and personal...
DESTINY HELPER SERVICES LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels on Earth Caregivers is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Frantier Healthcare Services LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GOODWILL CARE SERVICES LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Caring Senior Service is dedicated to enabling seniors to age in place. Our senior caregivers help our clients maintain dignity and independence through assistance with daily tasks, while giving their families peace of mind.
D & G HOME HEALTH SERVICES LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
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...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
Bright Autumn Home Care stands at the heart of service, with a special focus on compassionate, tailored support for our seniors. We give seniors the opportunity to live life on their own terms, aging with dignity, grace,...
At Good Faith Seniors Homecare, Inc., you will receive the care that you deserve to have. Good Faith Seniors Homecare, Inc. provides the optimum level of health and comfort. Whenever life’s difficulties hinder you from...
Apex Caregivers LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Life Saver Home Care offers cost-effective care in the comfort of your own home. We provide empathetic, skilled caregivers directly to your loved one's home or hospital. Our goal is to help your family member age in...
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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.