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:
Always Best Care combines national strength and standards with local accessibility and personal service. The local owners of Always Best Care of Scottsdale are John & Ganeen Harstick & Trevor Keeling. We've been helping...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Gilbert or in surrounding areas like Mesa or Chandler.
MD Home Assist, Compassionate In-Home Care Services At MD Home Assist, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to...
Brightwood Health is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Scottsdale was proud to join the exceptional team of over 300 other Senior Helpers owners in 2007. Shaun Phelan was inspired to start providing quality care to the senior population after he witnessed...
Gold Star Home Care LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide Core In‑Home Care Services Personal care: Assistance with bathing, dressing, grooming, toileting, incontinence care, and hygiene support , obility & transfer help: Aid with transferring, walking, fall...
Kimberly Akers and Kris Patmos are the owners of Amada Senior Care Mesa and longtime friends. Kris says, “We’ve been through many things together, including church ministry, raising our children, and now caring for our...
HomeWell Care Services of (Chandler) Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home With Help is a trusted provider of comprehensive non-medical companionship / home-making and Personal Care Services in the Greater Scottsdale, Phoenix Arizona. We are committed to providing the most compassionate,...
Senior Helpers of Mesa was opened in 2020 by Shaun and Tiffany Phelan, who have owned the Senior Helpers location in Scottsdale since 2007. Shaun and Tiffany live in Mesa, in Las Sendas, and feel a strong connection to...
Family Owned & Operated Since 2011 - You're More Than Just Another Client To Us. We started this business because we enjoy helping people. This is our primary objective and no one had to provide us with a road map on...
Alera Home Healthcare provides compassionate, reliable in-home care services that help individuals maintain their independence and quality of life in the comfort of their own homes. Our dedicated caregivers and healthcare...
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...
We at FirstLight Home Care exist to help people have their best day, every day. Our mission is to provide compassionate home care so that the families we serve have peace of mind knowing their loved ones are receiving the...
We Offer Independence Abliss Healthcare Inc. is devoted to improving the quality of life for seniors and disabled individuals. We specialize in delivering in-home care services that cover a broad spectrum of...
Tender Heart Home Care is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assured Care is a non medical homecare company serving the elderly & disabled in their homes. We have been in business for 4 years & we are insured & bonded. We are certified providers for Arizona's ALTC & DDD...
Avara Care At-Home, LLC of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There are NO minimums and NO long term contracts! You can book more than twice a day. We also have a national care team to do in person care and assist with clients globally! We are trusted by Stanford School of Medicine,...
Optimum Healthcare, Inc is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Living Free Homecare provides non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained, competent and dedicated staff members...
Allied Health LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EH In-Homecare Services proudly provides 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...
“Services Designed With Your Happiness in Life” HopeCare Services provides services for individuals with disabilities in-home and community-based services. We are an innovative human services network, providing services...
Aria Rose Home Care LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Relief Home Care Service LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We pride on knowing your loved one is receiving quality care - right in their own home. Our trained, insured, and bonded caregivers provide home care assistance to the following Arizona communities: Gilbert, Mesa, Tempe,...
Abide Home Health Care is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Gentle Touch Home Care of Mesa AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cardinal Caregivers is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PERSONAL CARE Secora Services provides top-notch personal care you and your loved ones can rely on. We are there to make sure meals are prepared, medications are taken, and hygiene practices are kept. Reach out to us...
Arbella Healthcare is owned and operated by registered nurses with 30 years in the industry. Our belief is that people thrive best in the comfort of their home. We also believe that each person is unique and deserves a...
SYNERGY HomeCare of the East Valley and Pinal County employs hundreds of caregivers to assist with daily living activities in the comfort of your own home. Let us find the right caregiver to meet your needs. Our...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Tempe and surrounding communities providing...
Home Matters Caregiving is compassionate care you can depend on. Discover the benefits of professional caregiving in the comfort of your home. Learn how a Professional Caregiver can help create great days for your...
Caregivers You Can Trust Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness,...
We are a local, family-owned and operated in-home senior care agency providing hourly and live-in assisted living services for seniors. At Leading Edge Senior Care, we believe that it is not enough to simply provide...
We are a values-led and performance driven organization rooted in exceptional dedication to delivering the best services in the valley. We are committed to delivering these in-home care services in the most compassionate,...
We are Josh and Courtney Harper and we are honored to serve our community as the owners of Homewatch CareGivers of Chandler – Sun Lakes, Arizona! We believe that clients, their families, and caregivers working together...
Home care services and support are provided to you and your loved ones with utmost respect for your privacy and independence. Seeing to it that you get to live your life to the fullest without putting your health at risk...
Jordana Masserman is a veteran in the home care field, with over 10 years of owning and operating Preferred Care at Home of Westchester and Putnam in New York. She brings her fresh face and care focused experience to the...
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...
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home. Golden Heart Senior...
Senior Helpers of Tempe was opened by owner John Skelton in 2020 as a mission-driven business for the greater good. John and his dedicated team recognize the growing need for in-home care services and are committed to...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
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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.