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.
✔
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:
Senior Helpers Las Vegas offers in-home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with Alzheimer’s, Dementia, Parkinson’s and other chronic...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Companion and personal home care services provide essential support to individuals who need assistance with daily activities while enabling them to maintain their independence in the comfort of their own homes.
Griswold is an award-winning pioneer in the home care industry, with over four decades of experience and a storied legacy of compassion and integrity. We believe Care Professionals are the foundation of our success, and...
Senior Helpers of North Las Vegas, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Home Instead - Henderson, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Essential Care Nevada LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
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...
Woodland Sage Home Care is a licensed non-medical home care agency dedicated to supporting seniors and individuals with disabilities in the Las Vegas area. Our mission is to promote independence, dignity, and comfort by...
Many seniors who have decided to age in place may need care and assistance to live at home safely, and each individual has different care needs. Whether your senior loved ones need a few hours of care and assistance a...
Care To Be Home believes that we are stronger together. Not only do we take pride in the training and development of our caregiver and administrative staff but we diligently seek out programs and partner companies to work...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
AuLTru is a home care provider that services the entire Las Vegas area. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
With a deep respect for the sacrifices made and the wisdom gained by our elderly and veteran communities, we strive to offer compassionate, dignified, and personalized services that honor their unique needs and preferences
Ardent Care, LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Caring Health Provider is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 2020, Anjels Nest Home Health Care Inc. has been providing highly trained health and personal care for your loved ones. They get the assistance they need and you get the peace of mind knowing that routine activities...
AAA Home Care of Las Vegas, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ada Personal Care, LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Alpha Star Home Health, Inc is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Complete Care Support Services - Las Vegas, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABSOLUTE PERSONAL CARE is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allied Home Health Care Services is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AA PERSONAL CARE, LLC of Las Vegas, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMPM HOME HEALTH LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advent Home Health is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Absolute Home Care Las Vegas is a family-owned in-home agency with a solid corporate foundation. We’re dedicated to assisting clients in their daily lives and connecting them to community resources. Ensuring utmost...
A & E Home Health Care, Llc is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACE PERSONAL CARE LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
A Gentlecare Medical Services is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Home Health is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Alltime Home Health Providers is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alba's Rose Personal Care Agcy of Las Vegas, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aloha Home Health, LLC is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A BETTER HOME CARE is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accessible Space, Inc.of Las Vegas,NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Always For You Home Care Services, NV is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpha Home Health Agency, Inc is a home care provider that services in Las Vegas, NV. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Our agency's inception stems from personal experiences, witnessing the struggles and challenges families face in securing quality care for their loved ones. Motivated by this need, we embarked on a mission to create a...
At Medical Concern Home Care, we go over and beyond to ensure every client's needs are met.We treat our clients with care, we listen to their needs and most importantly we treat everyone as if they were our own family...
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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.