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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.*
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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:
At FirstLight Home Care of North Brunswick, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people...
When the time comes that extra care is required, whether due to age or health condition, many prefer the familiarity and comfort of their own home. At Homewatch CareGivers, we know that good in-home care supports quality...
Qualicare Princeton is your family’s partner for personalized home care. Being the family caregiver can prove to be a challenge. You may feel burnt out or just overwhelmed trying to manage your own life while helping...
As a nonprofit, mission-based community, we hold ourselves to a higher standard when it comes to caring for our residents. For nearly eight decades, this commitment has been evident in both the quality and scope of health...
The main goal of Charis Home Health Agency is to bring smiles to the faces of our patients and their families. Our home healthcare services target a wide range of people – from children, to young adults and to the...
Our founding team brings a wealth of experience to the table, drawing from both professional backgrounds and personal journeys within the healthcare sector.
Zenith Home Care Agency - Cranbury, NJ is a home care provider that services in Monroe Township, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Purity Home Care LLC provides compassionate, non-medical in-home care services to seniors and individuals in need throughout Middlesex County, NJ. Our caregivers are dedicated to promoting independence, safety, and...
Always Responsive Home Care is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to seniors and individuals in need of assistance.
Our caregivers are certified in areas of first aid, alzheimer's and dementia training, fall prevention and many other specialities.The personal care and attention we give our clients begins with the initial phone call. We...
We're here to provide the care, comfort, and support you or your loved one deserves—all from the comfort of home. Let's start this journey together and create a care plan that's just right for you.
At SeniorBridge, we’re passionate about helping families and loved ones find solutions that make life better and give you greater peace of mind. Since 2000, we’ve been providing comprehensive home care solutions,...
Care Street Homecare Services, LLC is a home care provider that services in Monroe Township, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Affirmed Home Care we believe in the philosophy of "compromise nothing." Our mission is to support the health and well-being of our clients by delivering the finest personalized in-home care, specific to their needs,...
Ensuring a loving warm environment for your loved one will help them age in place. We all want the best care for our family members, that’s why you should reach out to Platinum Home Care.
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...
AK of Eastern PA is a home care provider that services in Monroe Township, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INDEPENDENT CAREGIVERS AGENCY CORP is a home care provider that services in Monroe Township, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier In home care providers serving southern Middlesex county. Extensive interview process, background checks, nursing supervision of all CHHA's and reasonable rates. We work with all Long Term Care Insurance...
At Amada Senior Care Monmouth, our services are not limited to in-home care. We see families through every aspect of the senior care continuum. This includes helping clients identify the ideal assisted living environment...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
Independence Home Care is one of NJ’s largest non-franchised home care providers. We do very little advertising because most of our referrals are word of mouth from our previous satisfied families or from respected...
Senior Helpers can provide you with a professional caregiver to help you with some things around the house so you won’t have to rely on your children or friends as much and so you remain independent in your home longer....
WHY US? Love and Care LLC offers quality homecare including homemakers, health aides and companions. We screen compassionate and capable caregivers who can play a critical role in delivery of exceptional home health...
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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.