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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
✔
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:
BrightStar Care of W. Montgomery Co. offers in-home care and medical staffing that goes above and beyond. We call it “A higher standard." Our Professional Care Team, led by a Registered Nurse Director of Nursing,...
Elders Choice of PA is a provider of non-medical home support services in Southampton, PA. Our company was built around the idea that, ultimately, what makes a quality life possible is our clients' sense of...
Age in Place - Philadelphia/Montgomery Region is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
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...
Simply Comfort Home Care delivers high-quality, personalized in-home care services for seniors and individuals facing physical injuries or temporary health challenges, ensuring clients maintain independence and comfort in...
Home Matters Caregiving Philadelphia (Montgomery County), PA is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care...
As we age, we will eventually reach that point where we only have little control over our mobility, our health and many other life circumstances that are tied with old age. Similarly, we experience these struggles when we...
The entire professional care team at Amada Senior Care Philadelphia West Suburbs understands the importance of quality senior care that helps aging adults thrive and live safely and independently. Choosing the right home...
One You Love Homecare - Huntingdon Valley/Mainline, PA is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
At Homewatch CareGivers, we pride ourselves on being one of the oldest and most trusted providers of customized in-home care services. We know that inviting someone into your home is an important and complex decision,...
Breeze of Care, LLC proudly serves Bucks and Montgomery County, PA, offering compassionate in-home care including personal care, companionship, transportation, and live-in support. With over 35 trained caregivers and a...
At Jusoncare LLC, we provide compassionate, professional home care services designed to enhance independence and well-being. From daily personal care and companionship to specialized dementia and post-hospitalization...
At Options for Senior America, we believe aging should never mean giving up independence or dignity. Our Wayne, Pennsylvania team is dedicated to providing high-quality, personalized in-home care that allows seniors to...
Allegiant Home Healthcare is a family owned and operated non-medical home care company. We have a combined 35 years of experience in the home and health care industry. Our experience, expertise and loyalty to the...
Neighborly Home Care provides a comprehensive range of personal care services to assist seniors or anyone who needs help with activities of daily living, in their home or residence. We understand that maintaining your...
Essence Home Care, LLC is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Near and Dear Homecare provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, ensuring comfort, safety, and independence while enhancing the quality of life for...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
QUALITY LIFE HEALTHCARE, LLC is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Synergy HomeCare, the most trusted name in non-medical home care, stands out from the rest because we provide home care services to all ages—we can work with anyone in any age range and with any home care need. We also...
First, we get to know you and your care needs, then we design a flexible Care Plan just for you. You’ll get the in-home care solution you need—and always be informed and in control.
Jireh Home Care LLC is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Receptive Home Care is a leading provider of compassionate and professional in-home care services, dedicated to enhancing the quality of life for individuals who require assistance with daily activities.
Reliable Caregiving Angels, L.L.C. is a healthcare company dedicated to offering compassionate and dependable companion services to individuals who need assistance with daily activities. The company’s mission is to...
Touch of Love Home Care Services is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ajay's unreal and fake lead, we are dedicated to providing compassionate, reliable, and personalized non-medical home care services that allow seniors and individuals with special needs to live comfortably and safely in...
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...
AED Healthcare LLC is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Childrens Hosp Home Care is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Intercede Home Healthcare LLC provides compassionate and reliable in-home care services tailored to meet the unique needs of seniors and individuals requiring assistance. Our dedicated caregivers focus on promoting...
Home Helpers Home Care of King of Prussia, PA is a home care provider that services in King Of Prussia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
SERENITY'S LEGACY ASSIST, LLC. is a home care provider that services in King Of Prussia, 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...
For more than 10 years, Senior Helpers has been providing customized professional care services to seniors and families throughout the Pottstown area. To support aging in place, we provide a full variety of services...
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.