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:
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...
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We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. Our high-touch, team-based...
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...
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.
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...
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...
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...
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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...
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...
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...
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...
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...
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Whether you or your loved one requires assistance with daily activities, medication management, or specialized medical care, our skilled professionals are here to lend a helping hand.
Royal Majesty 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...
Health View Home Health 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...
Optima Health Care Services, 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...
Let Home Helpers & Direct Link Create a Customized Home Care Plan to Fit Your Lifestyle! Live life your way in the comfort of home with Home Helpers of Long Beach! Whether you’re a family caregiver or could benefit...
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...
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...
Elevate Personal 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...
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...
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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...
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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...
Rainbow Home Health Care Agency, 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...
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...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
CELESTIAL IN-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...
Gallant Care Services provides compassionate, non-medical in-home support that promotes dignity, comfort, and independence for seniors. Our caregivers offer personalized assistance with daily living — including personal...
LET US HELP YOU STAY IN YOUR OWN HOME 25 Years serving the Long Beach and Northern Orange County areas. We provide: Personal Care- Bathing, Dressing, Meal Preparation, Medication Reminders, Linen...
Oxford 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...
Absolute 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...
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...
Total Care Home Health 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...
At Assistance With care, we customize a care plan for you or your loved one that best suits care needs. With the help of our experienced caregivers, we will deliver compassion and care. Our goal is to maintain...
We believe that our patients have their own specific needs. In providing home care, we ensure that such needs are met accordingly through provision of personalized care. Ultimately, we aim to give them the highest quality...
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...
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...
SUNSET PALM CARES, LLC 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...
ProCare 2000 Home Health Care has been providing exceptional,skilled and non-skilled in-home nursing services to Southern California for the past 22 years. We are state licensed, fully bonded and insured. All ProCare 2000...
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...
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.