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.*
✔
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:
Options for Senior America - Gaithersburg, MD is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Homemade Plan of Lanham, MD is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prospect Nursing and Home Care Services is a trusted provider of compassionate home health and professional healthcare staffing solutions in Frederick, MD. We proudly serve patients and clients of all ages — from babies...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
Best Care Home Care is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
Our homecare staff provide personalized support for daily needs while also offering meaningful companionship. At Dusk To Dawn, we strive to make life easier and more comfortable for every patient we serve. We deliver many...
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...
Our Mission It is our goal and commitment to provide high-quality in-home personal care. We take pride in providing reliable, compassionate, and kind caregivers who have been trained to address the various needs of...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Saint Theresa Nurselink Inc is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When the going gets tough due to chronic illnesses, diseases, and other health conditions, Assured Home Care Services is here to help bring comfort in your day-to-day bouts in life. We provide seamless health solutions...
Cedar Care LLC, MD is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our commitment to genuine service lies in the heart of our care. It is our mission to render compassionate services that value the right of an individual to cost-effective yet high-quality patient care. Through our...
At A Daughter's Love Health Care MD, we treat every client like family, delivering care with kindness, respect, and unwavering dedication to their well-being.
All decisions are made right here in Maryland’s by owners who care about the quality-of-life for your loved ones and are long-time, active members of the local community. We are committed 24/7 to having your family member...
Grace and Mercy Health Services Inc is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Loving Arms Homecare Services is a locally-owned state of Maryland licensed NRSA healthcare business. We support our clients to live well and age well wherever they call home. We are committed to: Excellence in...
Above & Beyond Services LLC, located in Lanham, MD, provides high-quality home care services, ensuring compassionate and personalized care for seniors and individuals needing assistance. The agency focuses on enhancing...
De-Trinity Healthcare is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mayflower Choice Care, Inc. is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At First Trust Health, we believe care begins with trust. Our caring and experienced caregivers offer friendly, personalized support—from daily activity help to companionship and specialized care—empowering clients to...
Joyride Home and Wellness Care is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adore Staffing and Residential Care is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Healthcare is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hettysalem Home Health Care LLC provides compassionate, reliable in-home care services tailored to meet the unique needs of each client. Our trained professionals are committed to enhancing quality of life by delivering...
Sheckel Multi-Services LLC is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Companionship is key to a trusted relationship with our caregivers. We not only strive to help you with everyday tasks but want to develop a caring relationship with you. We provide one-on-one attention and care that...
Dsf Home Health Care, Llc is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Angels is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With home care services, our office can provide personal care plans through an in-home evaluation and interviews between the client, family and the ComForCare team to help determine the best plan of action for the...
People want to live their lives where they feel most comfortable – in their own home. We offer a range of home care services, from basic companionship to round-the-clock care, that allows seniors and other individuals to...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
ABSOLUTE Health Care Services is listed among Maryland’s highest ranking home health care providers. We are a well-established home health care company whose excellence, cost efficiency, and reliability have been proven...
At Impeccable Healthcare Services, we believe exceptional care is defined by attention to detail and genuine compassion. Our professional caregivers provide individualized support—from daily living assistance to...
We are committed to working closely with organizations and individuals alike, assisting them in reaching personal and organizational goals. Our experience, matched with our meticulous eye for talent, gives us an edge over...
LOVINGCARE HOME ASSISTED LIVING is where you will certainly love to be because of our exceptional hospitality. Our very welcoming professional staff which includes, but is not limited to, a full-time Registered Nurse...
ABSOLUTE GRACE HEALTHCARE SERVICES is licensed as a Residential Service Agency by the Maryland Department of Health, Office of Health Care Quality. AGHS provides top-of-the-line services that are specially designed to fit...
Impact Support Services is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Morning Star Corp Rsa, MD is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a team of passionate individuals committed to redefining the home care experience. With a shared vision for compassionate and personalized support, we stand as a pillar of strength for those in need. Our diverse...
Providing care for your loved ones in the comfort of their home. Your loved one can live at home safer and longer with our personal care services. We work to improve the quality of life for your whole family.
Care Forever Health Services LLC is a home care agency that provides respectable, dignified, quality and patient-centered care to patients that need assistance or support in managing and/or maintaining their everyday...
Mediatrix Health Services is a home care provider that services in Lanham, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our priority is the well-being and livelihood of all our patients. We work tirelessly to ensure the elderly can access essential services and help mitigate their struggles. Our team is not just dedicated to physical...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
We Are Thrilled to Introduce LM Healthcare: Your Trusted Home Care Partner in Maryland For the past 8 years, LM Healthcare has proudly served as a reliable and compassionate home care/private duty agency across the state...
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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.