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:
Senior Helpers of Greater Oklahoma City provides customized, quality in-home one-on-one care services for seniors in the comfort of their own home, including Independent and Assisted Living, Skilled Nursing, or Rehabs....
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...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
PEACE Homecare, Inc. is a licensed and registered home care provider in Oklahoma, offering compassionate and professional in-home care services. Serving Norman and the Oklahoma City Metro areas, we are committed to...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. Right at Home Edmond believes there’s...
The owners of Amada Senior Care Tulsa are seeing the realization of a longtime dream serving as an advocate for seniors who want to live safely and independently with the support they need to maintain their health and...
Thank you for considering Companion at Home as your provider of private duty services, helping clients to maintain their independence, safety, and well-being in their home environment. Our services include personal...
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...
Our team of experienced caregivers is committed to delivering exceptional service with respect, dignity, and empathy. At Companions Who Care LLC, we prioritize building meaningful relationships and creating a safe,...
According to Greg Johnson, owner of Amada Senior Care Norman, delivering the highest-quality care for a senior client is only part of what the Amada Norman caregiving team does. Just as important is providing consistent...
Amedisys Home Health is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Deaconess Home Care is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1St Choice Home Healthcare is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heart Care at Home, LLC is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Home Care Solutions is a family owned senior home care agency in Oklahoma City, OK, who proudly provides private duty home care services to individuals with disabilities, injuries, difficulties with mobility, or...
Excell's Personal Care provides personal service and assistance that make life easier and more enjoyable for those who need non-medical assistance at home or in their place of residence, and who have a desire to maintain...
Accentra Home Healthcare is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elite Home Care, L L C is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Living Health Services is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Frontline Home Health, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Edmond, OK is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care of Oklahoma City and Edmond offers full home care and caregiver services for individuals that are recuperating from surgery, seniors in need of extra help at home, or new moms. We have professional...
Family Care Home Health, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Home Health Agency, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Care Home Health, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Age Home Health, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Choice Home Health, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elara Caring provides a comprehensive, compassionate, and holistic program of in-home care and support to help patients meet their health care goals. From bathing and home chores to skilled nursing visits, our services...
Heritage Home Health is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heart & Soul Healthcare, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Choice Home Health Care,OK is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devoted Hands Home Care is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devine Care Home Health Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allwood Home Health, LLC is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Entrust Home Health is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carter Healthcare, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Girling Health Care, Inc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly trained and compassionate caregivers is dedicated to ensuring the highest standard of care. At 4 Kings Home Health Agency LLC, we believe that every individual deserves to live with dignity, respect,...
Gentiva Health Services - O K C is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excell Home Care of OK is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glory Healthcare LLC is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthback Home Health of O K C is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregivers you can trust. Feel better in the comfort of your own home. We specialize in providing in-home care assistance to an array of individuals. Whether you need daily or weekly care due to aging, illness,...
Abiding Home Health of Oklahoma City is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our trusted Norman staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at Charleston’s, or if they would prefer to watch a movie at home every evening after dinner. They might not...
All About Caring Home Health Care, Llc is a home care provider that services in Oklahoma City, OK. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Established in 1993, this family owned home care agency provides an alternative for seniors wanting to remain independent and in the comfort of their own home. Whether you're having surgery and need help caring for...
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...
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.