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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.*
✔
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:
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...
Personalized home care solutions. Our flexible in-home care services can be tailored to meet the needs of any situation. From short-term adult care services to full-time live-in care, we can handle it all. Whether your...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The Woodlands or in surrounding areas like Spring, Porter Heights, or Tomball.
HomeCare Family is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care was founded by the late Jean Griswold in 1982, making us the oldest non-medical home care franchise organization in the country. While we operate in a growing industry with many respected competitors,...
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...
At Embracing Hearts In-Home Care, we believe true care begins with compassion. Our devoted caregivers deliver personalized support—from daily routines to heartfelt companionship and specialized assistance—helping clients...
We support seniors and their families by providing opportunities for meaningful engagement. Our caregivers building authentic, caring relationships and implement custom care plans that evolve with a senior’s needs.
In Home Senior Care Services Like getting a little help from your friends® The Seniors Helping Seniors® team provides affordable, professional in-home care services and heartfelt companionship for seniors. Our...
Homewatch CareGivers provides in-home care for seniors on a weekly, daily, or 24-hour basis, but our teams can also assist with individuals of any age, ability or condition. Get an extra set of hands around the house...
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...
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...
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...
Nursefinders of Houston Kingwood is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Global Progressive Network Personal Assistance is a healthcare company that specializes in providing personalized, non-medical support services to individuals in their homes. The company is dedicated to enhancing the...
At Global Home Health Services, we are dedicated to enhancing the quality of life for individuals and families through compassionate and comprehensive non-medical care. Our commitment to excellence and our passion for...
Right at Home - Kingwood, TX is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Best Care of Kingwood, TX - DUPLICATE is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kingwood Home Health is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Continuity Care Home Health Agency LLC is a home care provider that services in Kingwood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When you or your loved one need help at home, turn to FirstLight Home Care. We offer complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services that are specifically structured to...
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...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Humble, Kingwood and surrounding areas to...
Laurie and Ray Griggs opened the Senior Helpers Bryan, College Station office in 2018 because of their commitment to delivering the best possible in-home care to seniors in the surrounding communities. They have a passion...
Angels Instead is a company that offers non-medical home care services. We provide a variety of services to help our clients live their best lives. We are here to help with everyday tasks, errands, and anything else that...
If you’ve been searching for a home care agency for your care or your loved one’s care, then you know there is a sea of sameness in the dozens of home care choices, making it difficult to actually choose one. And we know...
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 through compassionate support,...
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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.