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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:
Care Indeed provides non-medical home care services to seniors: personal care, support with mobility, help with household chores, companionship, and transportation. We also send our trained and experienced caregivers,...
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Atlas Home Health specializes in long-term, private duty home care for both adult and pediatric clients. Each client receives one-on-one support from a dedicated caregiver or care team, with services ranging from basic...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Center For Elders’ Independence PACE (Program of All Inclusive Care for the Elderly) provides high-quality, affordable, integrated healthcare services to vulnerable seniors promoting autonomy, quality of life, and the...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
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...
Whether your loved one’s health concerns are due to illness, injury, or aging, our personalized senior in-home care packages will support your loved one through flexible scheduling and customized support services,...
We believe that care should feel like home — warm, personal, and grounded in love. Our Family-Style Live-In Non-Medical Care offers compassionate, around-the-clock support for seniors and individuals who need assistance...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
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 your loved one. If you are supporting someone through a medical crisis or...
IKIGAI ELDER SERVICES LLC is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are here for you and your loved ones. We are committed to providing peace of mind to families by delivering exceptional care and unsurpassed customer service.
Entrusted Heart Homecare is powered by a seasoned team that brings a wealth of knowledge and dedication to every aspect of patient care. We understand the intricacies of healthcare and the importance of a personalized...
Alofa Care Home Care Agency, CA is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Center For Elders Independence - DUPLICATE is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mz Blue In Home Comfort Service LLC is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Marlee Home Care Services, Inc. is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Nestvy Home Care, our mission is to provide compassionate, personalized, and high-quality home care services that empower individuals to live independently and with dignity in the comfort of their own homes. We are...
Kaiser Foundation Hospital Home Health - Oakland is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Blessing Angel Homecare LLC is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kenko LLC is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Asian American Home Care, Inc is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Asian Network Pacific Home Care, Inc is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
ALONDRA HOME CARE is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Care Services include assisting with hands-on, health-related tasks such as grooming (hair care, shaving, cleaning teeth/dentures; makeup; dressing) hygiene (tub, bed or sponge baths; showers; toileting...
We’re committed to not only providing quality products and services, but going above and beyond to ensure our patients are completely satisfied. We welcome you to look through our site to see all we have to offer.
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...
LET OUR TEAM OF EXPERTS Find the right senior care for you. At Nestvy, our mission is to help families like yours navigate all of the changes that come with aging. If you’re looking for senior care options, Nestvy...
Gifted Hands Care Provider of Oakland CA is a home care provider that services in Oakland, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There is an incredible demand in our society for care professionals, and we are proud to be up to the task. And it's not just for seniors — if a member of your family needs help, we're the place to call. As we are a...
We provide older adults, in Oakland and the surrounding area, with one-on-one support that allows them to live safely and independently at home. Our 24/7 guarantee means that we will be there when you need us – days,...
GoldCoast Homecare was founded by Carlin Longley, a Registered Professional Nurse, with over a decade of providing service to others in need. Carlin started GoldCoast Homecare because he recognizes the importance of...
We are a local, family owned non-medical agency that provides quality companion and personal care services to you and your family in the comfort of your own home. Clients will choose what type of care best meets their...
CSS Home Care offers caring and quality home care and supportive services for seniors and adults with disabilities in the San Francisco Bay Area. We work hard to help our clients age in place by providing qualified...
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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.