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.*
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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:
Our mission is to serve our community by maintaining a standard of excellence in the delivery of high quality health care. Our talented clinical team strives to enhance the quality of our patients lives by providing...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
We provide non-medical assistance in the comfort of your own home. Our Services: Meal preparation and feeding Bathing, personal care and grooming Light housekeeping Medication reminders Escorting to...
Senior Helpers North Orange County & South LA County CA was established in 2020. Our office is owned and operated by Kimberley & Steven Nickens, who are advocates for high-quality senior care. Our primary goal is to help...
At the heart of Amada Senior Care in Cerritos, CA beats the owners’ shared passion for helping families and making a real difference in our local senior population. Says Vahid Rokrok Lor, owner of Amada Cerritos,...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Home Helpers Home Care of Orange Coast is more than an in-home health care agency – we’re your extended family when family can’t be there. We’re a locally owned, trusted provider of quality, compassionate in-home care in...
SYNERGY HomeCare of Lakewood provides a wide range of non-medical care options. Companion care includes assistance with cooking, shopping, running errands, light housekeeping, and other tasks that allow clients to live...
Unlike in-home care franchises, Care for SoCal is owned and operated by two nurses-an RN and an LVN-with experience in multiple specialties of nursing and in-home care, for people of all ages and circumstances. Whether...
Our in-home senior care starts with a clear understanding of who you are and what we can do to make your life a little easier and a little brighter. Whatever services you need and whenever you need them – for yourself or...
Senior Helpers of Long Beach is a family-run business founded by Julia LaPlount in 2019. Julia, her daughter and her granddaughter have all been inspired by their own personal caregiving experiences to serve seniors who...
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...
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
A Caring Place was started to help people with the best quality care in their home versus in a nursing home. In this way, we offer dedicated one-on-one care of your loved ones. This means more time and energy can be put...
At Enriched Hearts Home Care, it’s our mission to enrich the quality of life of our clients by providing customized and compassionate care by well-trained and empathetic caregivers.
Who We Are 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...
Lina Lopez and Maria Adelaida, the owners of Amada Senior Care in West Long Beach, California view their role as part of a larger commitment to our population of cherished seniors in Carson, Compton, Lakewood, Long Beach,...
As a family owned, not for profit organization, Canaan Home Care is at the forefront of the home care industry. Canaan has been a partner of the State of California for over 25 years, together, raising the home care...
Origins Home Health Care is founded on the principles of trust, skills, and excellence in care that comes with years of experience and dedication. We are a locally owned, California based company with our headquarters...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
BlueSea Care is a cutting-edge thought leader in non-medical in-home care for seniors. Our focus is an emphasis on compassion, respect, wellness, and purposeful engagement. Our mission is helping your loved ones stay...
Assistance In Home Care began with a vision by the owner, Ramona Streit. 17 years ago, her brother was suffering with cancer and he required in home care. Over time, the family realized the services that were received by...
Comfort Keepers Home Care provides seniors and their families in Buena Park, Lakewood, Bellflower, Fullerton, and the nearby areas with compassionate and individualized in-home care services that enhance their quality of...
Baby Boomers In Home Companions South Bay is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Andre and Cyndi Pegus are the owners of Amada Senior Care of Long Beach, California. Their team offers loving senior care to those seniors who need some assistance with activities of daily living as they live...
Our mission is to provide consistent, high-level support to our clients' daily care needs. With the aid of our caregivers, who act as their trusted partners, you can enjoy the peace of mind that comes from knowing that...
Ivory Home Health Care is a healthcare service provider dedicated to offering compassionate, high-quality medical and personal care services to individuals in the comfort of their homes.
Monina Home Health, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excell Home Care Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Long Beach, CA is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
JD Home Care Services is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Senior Services provides In Home Care for seniors and people with disabilities. Our care givers must have one year experiences working in related field. Care givers are required to pass a National level...
Crystal Home Health Care, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elevatehealth is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Silver Peaks provides Non-medical Home Care Services also known as Caregiving Services. California Health and Safety Code Section 1796.12(n) defines non-medical Home Care Services as assistance to seniors and the disabled...
At SYNERGY HomeCare, we are your trusted in-home care provider, building connections and forward momentum in people’s lives. We call it the SYNERGY Effect. We believe our purpose is to provide the best care possible....
Extended Health Care, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Care is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Santa Rita Home Care, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Madison Home Health Care is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Long Beach Health Care is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B & F Home Health, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In memory of our mom, Livewell Private Care continues to provide the loving, professional and tender care that families have come to expect from our Livewell brand. Our focus is on hiring and placing the most qualified...
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.
Comfort Home Health Care, Inc is a home care provider that services in Long Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our personalized care plans emphasize helping our clients maintain their dignity and self-respect while providing peace of mind, companionship, safety, and supervision. Our clients choose the caregiver, schedule, and...
With Koda Caregiver personal care services, we help your relative or loved one with intimate non-medical care needs. Our companion care services provide daily companionship and assistance with daily living activities (ADLs).
Whether your loved one needs a little extra help around the house, daily medical assistance or just someone to check in with them throughout the week, Right at Home's in-home care could be the answer. Our senior Care...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
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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.