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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.
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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:
Right at Home helps seniors and adults with disabilities live safely and comfortably at home, with care designed around their individual needs. Families trust us for support that ranges from daily help around the house to...
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SYNERGY HomeCare of Lubbock, TX is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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AVEANNA HEALTHCARE is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care of Lubbock, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve. BrightStar Care...
Services typically include assistance with daily living activities such as bathing, dressing, and meal preparation, medication management, companionship, transportation, and light housekeeping. Assurance In-Home Care aims...
Advanced Home Health is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accolade Home Care is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Complete Hope Inc. is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best In-Home Care is the perfect solution for seniors and others in need who aren’t ready to leave their home for an institutional setting, but because of illness or chronic conditions need support to remain at home. We...
Encompass Home Health Of Lubbock is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caprock Home Health has been family owned and operated for over 30 years. We have served our patients across Texas with our highly trained staff. We believe in our patient’s independence and want to support them in any...
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Interim Healthcare of West Texas LLC is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
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Outreach Health Services is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CareCo offers a variety of services to meet each individual client where they need care the most. Our services are designed to supplement family support and medical care, providing comprehensive care coverage to our clients
Our experienced caregivers provide a wide range of services tailored to meet the unique needs of each individual. These include: Personal Care: Assistance with bathing, dressing, grooming, and incontinence...
Homestead Health Care Services is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Essential Home Health is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homecare Solutions of Lubbock Inc is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Immediate Nurse Care Staffing Inc. is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caprock Home Health Services, Inc. is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HUBCITY HOMECARE LLC is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beyondfaith Homecare & Rehab, LLC is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calvert Home Health Care of Ventura Place is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caprock Home Health Services Inc is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nanas Home Health Care is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Direct Health Care Inc is a home care provider that services in Lubbock, TX. 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,...
Umc Home Health is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Phoenix Home Care Service Inc is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arcadia Home Care - Big Spring, TX is a home care provider that services in Lubbock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The Hub City or in surrounding areas like Reunion Park, Bacon Crest, or Primrose Pointe.
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...
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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.