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:
Founded and owned by nurses, expertise in patient care has been the hallmark of CareDriven from day one. Our knowledge and skill in providing care for catastrophically injured patients makes CareDriven the choice for home...
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SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
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Affinity Care Partners Llc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care Home Health Services, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Preferred Choice Home Health Care Services, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bridge Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are committed to providing high quality, client-centered and affordable Home Care services to our clients to assist them to lead dignified and independent lives in the comfort and safety of their own homes. Their...
First Michigan Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Midwest Health Care is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In The Hands Of Joyce Llc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right At Home's primary goal is to help people stay independent in their homes; where ever they call home. Our highly trained and screened home health aides can assist with bathing, dressing, personal care, light house...
Ultimacare Home Health, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Great Lakes Home Patient Care, L L C is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Superior Home Health of Michigan is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ayuda Home Health Care LLC is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
Physician's Choice Home Health Care, LLC is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bassay Home Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cana Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Oakland Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Helpers of Oakland County is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
People's Home Care Services, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nexus Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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MY Choice Home Care, LLC is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quantum Homecare, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Allcare Housecalls Staffing LLC is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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First Care Home Health Care, L L C is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Optimum Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Medical Team is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Triumph Home Health Care Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over 30 years, Griswold Home Care has been referring the best Caregivers. We only refer Professional Caregivers that pass our stringent “CareAssure Screening System”. For your peace of mind, all of our Caregivers have...
Star Home Care Services, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Enriched Life Home Care Services is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Golden Home Health Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurturing Home Care is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Moonlite Home Care, Inc is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MB Home Health Care LLC is a home care provider that services in Livonia, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Care Overview – Senior Helpers of Farmington Hills, MI At Senior Helpers of Farmington Hills, we believe that every senior deserves care that truly focuses on what matters most to them. We are proud to be one of...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Livonia, MI. 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...
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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.