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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:
Our Mission: Empowering People To Age At Home Safely And Happily We bring together kind, compassionate, and highly trained caregivers with seniors in Kentucky who require supportive services for their activities of daily...
We welcome you to join us as we revolutionize a new way forward in home care. Our modern home care company is your partner in achieving better health and assisting you to have a more fulfilling life. We believe that home...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
We live the mission with our CAREGivers, our staff and our community by: Treating each other with dignity and respect Encouraging and supporting each others' growth Building value in our service to others Honoring...
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...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Senior Helpers of Louisville South is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Genuine Global Care is an in-home care agency serving Lincoln, NE, Dallas, TX, and Louisville, KY, providing personalized care to the elderly, disabled, and anyone in need of assistance, regardless of age. We specialize...
Tender Love And Care Nursing Services provides personalized and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support,...
Each member of Amada Senior Care Louisville’s team sees providing in-home senior care as much more than just a job. It’s a fulfillment of deeply-held personal goals and beliefs — we want to enrich the lives of our clients...
Home Helpers Home Care of Middle Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Malone Home Care provides caring in-home assistance that can be adapted to your needs. We offer help with daily living activities, personal care and skilled nursing services. Our care professionals are here to help...
Village Caregiving of Louisville offers a subset of home health services known as home care or personal care. These services are intended to allow the elderly to live as comfortably as possible in their own homes through...
Locally owned and providing quality in-home care since 1975. Offering companions, nursing aides, and professional nurses from 4 to 24 hours a day, 7 days a week. Each of our highly trained and experienced employees is...
We all want the best possible care for ourselves and our aging loved ones. Yet all too often, when the need arises, we don’t know who to turn to or which questions to ask. Assurance Home Care is here to assist you. Since...
Care Builders At Home of Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CENTRAL HOME CARE is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACCURATE HEALTHCARE PROFESSIONALS is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For the past decade, Acti-Kare has provided leading in-home senior care across the United States. It is our goal to help seniors live an active lifestyle within their own homes.
Helpers Home Care, we have been providing professional in-home care services since 1997. For over 25 years, our one-on-one compassionate care has been allowing our clients to stay right where they belong: at home.
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Taylor Made Compassionate Care is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caretenders is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SUNRISE HOME CARE SERVICE is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home 1st Care is a compassionate and dedicated service that prioritizes the well-being and comfort of its clients. They offer personalized care with a deep commitment to maintaining the dignity and independence of those...
Kindly Home Care LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homewatch CareGivers of Louisville, we understand that whether you’re 99 or 29, a little help can go a long way. No matter how much you love them, caring for your elders can take a lot of time out of your day and a lot...
Rescare Homecare is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeCAREConnections, (formerly known as Kinnett Care) has been established in Louisville for over 10 years. We offer Non-Medical in home care ranging from 4 hours to 24 hour live-in-care. We have an abundant staff of...
We provide compassionate and affordable caregivers for your home, assisted living facilities, and nursing homes. Our caregivers can assist with medication reminders, meal preparation, companionship, personal hygiene,...
FirstLight provides quality, affordable, non-medical in home care for adults of all ages so they can enjoy the best quality of life wherever and whenever they need it. Whether for seniors that need some assistance in...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
FirstLight HomeCare offers complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance. At FirstLight HomeCare we work with you to...
DONNA'S ASSISTED LIVING, LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Since 2016, Able Helpers Homecare has offered high-quality home health care in Nashville, Tennessee. We have dependable caregivers who have undergone proper training to provide our clients with customized services. As a...
B & J HELPING HANDS is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Harbor House Home Sweet Home, Inc is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At SYNERGY HomeCare, we build 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. Equally important is helping people feel, see...
Locally owned and operated, Senior Helpers Louisville is dedicated to creating a great match between the caregiver and the family. No matter the type of in-home care your loved one requires, trust the team at Senior...
Welcome to Mercy Works Louisville Senior Care. Providing 24/7 personal care assistance to senior citizens with exceptional care and service plans. Mercy Works Louisville can assist with all non medical, personal care...
Accredited by The Joint Commission, BrightStar Care of Louisville is locally owned by Louisville, KY natives Christian and Leslie McCutcheon. Our experienced staff is dedicated to providing high quality, dependable...
Baptist Hospital East Home Health Agency is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Support Services is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Caring Hands is State Certified to provide Non-Medical Personal Care Services. We provide trained, insured and bonded caregivers for the services you need. With extensive background in Caring for individuals in...
Seniors Helping Seniors - Kentuckiana, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We aim to positively impact your life by providing quality care and attention to your loved ones. KallyKare’s founder, Jemima Kalala, a mother of three kids, has worked in the caregiving field for over eight years in...
Our Mission: Empowering People To Age At Home Safely And Happily We bring together kind, compassionate, and highly trained caregivers with seniors in Kentucky who require supportive services for their activities of daily...
We welcome you to join us as we revolutionize a new way forward in home care. Our modern home care company is your partner in achieving better health and assisting you to have a more fulfilling life. We believe that home...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
We live the mission with our CAREGivers, our staff and our community by: Treating each other with dignity and respect Encouraging and supporting each others' growth Building value in our service to others Honoring...
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...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Senior Helpers of Louisville South is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Genuine Global Care is an in-home care agency serving Lincoln, NE, Dallas, TX, and Louisville, KY, providing personalized care to the elderly, disabled, and anyone in need of assistance, regardless of age. We specialize...
Tender Love And Care Nursing Services provides personalized and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support,...
Each member of Amada Senior Care Louisville’s team sees providing in-home senior care as much more than just a job. It’s a fulfillment of deeply-held personal goals and beliefs — we want to enrich the lives of our clients...
Home Helpers Home Care of Middle Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Malone Home Care provides caring in-home assistance that can be adapted to your needs. We offer help with daily living activities, personal care and skilled nursing services. Our care professionals are here to help...
Village Caregiving of Louisville offers a subset of home health services known as home care or personal care. These services are intended to allow the elderly to live as comfortably as possible in their own homes through...
Locally owned and providing quality in-home care since 1975. Offering companions, nursing aides, and professional nurses from 4 to 24 hours a day, 7 days a week. Each of our highly trained and experienced employees is...
We all want the best possible care for ourselves and our aging loved ones. Yet all too often, when the need arises, we don’t know who to turn to or which questions to ask. Assurance Home Care is here to assist you. Since...
Care Builders At Home of Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CENTRAL HOME CARE is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACCURATE HEALTHCARE PROFESSIONALS is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For the past decade, Acti-Kare has provided leading in-home senior care across the United States. It is our goal to help seniors live an active lifestyle within their own homes.
Helpers Home Care, we have been providing professional in-home care services since 1997. For over 25 years, our one-on-one compassionate care has been allowing our clients to stay right where they belong: at home.
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Taylor Made Compassionate Care is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caretenders is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SUNRISE HOME CARE SERVICE is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home 1st Care is a compassionate and dedicated service that prioritizes the well-being and comfort of its clients. They offer personalized care with a deep commitment to maintaining the dignity and independence of those...
Kindly Home Care LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homewatch CareGivers of Louisville, we understand that whether you’re 99 or 29, a little help can go a long way. No matter how much you love them, caring for your elders can take a lot of time out of your day and a lot...
Rescare Homecare is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeCAREConnections, (formerly known as Kinnett Care) has been established in Louisville for over 10 years. We offer Non-Medical in home care ranging from 4 hours to 24 hour live-in-care. We have an abundant staff of...
We provide compassionate and affordable caregivers for your home, assisted living facilities, and nursing homes. Our caregivers can assist with medication reminders, meal preparation, companionship, personal hygiene,...
FirstLight provides quality, affordable, non-medical in home care for adults of all ages so they can enjoy the best quality of life wherever and whenever they need it. Whether for seniors that need some assistance in...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
FirstLight HomeCare offers complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance. At FirstLight HomeCare we work with you to...
DONNA'S ASSISTED LIVING, LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Since 2016, Able Helpers Homecare has offered high-quality home health care in Nashville, Tennessee. We have dependable caregivers who have undergone proper training to provide our clients with customized services. As a...
B & J HELPING HANDS is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Harbor House Home Sweet Home, Inc is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At SYNERGY HomeCare, we build 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. Equally important is helping people feel, see...
Locally owned and operated, Senior Helpers Louisville is dedicated to creating a great match between the caregiver and the family. No matter the type of in-home care your loved one requires, trust the team at Senior...
Welcome to Mercy Works Louisville Senior Care. Providing 24/7 personal care assistance to senior citizens with exceptional care and service plans. Mercy Works Louisville can assist with all non medical, personal care...
Accredited by The Joint Commission, BrightStar Care of Louisville is locally owned by Louisville, KY natives Christian and Leslie McCutcheon. Our experienced staff is dedicated to providing high quality, dependable...
Baptist Hospital East Home Health Agency is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Support Services is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Caring Hands is State Certified to provide Non-Medical Personal Care Services. We provide trained, insured and bonded caregivers for the services you need. With extensive background in Caring for individuals in...
Seniors Helping Seniors - Kentuckiana, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We aim to positively impact your life by providing quality care and attention to your loved ones. KallyKare’s founder, Jemima Kalala, a mother of three kids, has worked in the caregiving field for over eight years in...
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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.