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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 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...
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...
Our One You Love Homecare in Denver Tech Center provides personal and companion care to seniors and families in Aurora, Englewood, Littleton, Parker, Centennial, Greenwood Village, Cherry Hills Village, and Denver. We...
We strive to build meaningful relationships with every client and family we serve, ensuring that their unique needs, preferences, and goals guide every aspect of their care. Our team of highly trained professionals is...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
Helping People through Home Care in Denver South Do you or a member of your family need in-home assistance? FirstLight Home Care offers one-of-a-kind care services by professional caregivers throughout South Denver...
ameriCARE’s home CARE in Colorado is delivered by skilled CAREgivers who can help seniors, those recovering from surgery, and individuals managing chronic illness thrive in the comfort of their own home. Accepting...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
ACASA Senior Care - Denver, CO is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For more than 13 years, we have provided quality caregivers to our patients, emphasizing communication in order to best understand the needs of the patient. We are honored to assist with non-medical personal care and...
To improve lives by providing safe, compassionate, and personalized care at home empowering individuals to live independently, with dignity, and the highest quality of life possible.
A Place at Home - South Denver is a dedicated homecare agency providing compassionate and professional in-home care services tailored to the unique needs of each client. Serving the South Denver area, the agency offers a...
Valiant Home Care Professionals offers reliable and compassionate in-home care services designed to support seniors and individuals with daily living needs. Our dedicated caregivers focus on promoting independence,...
5280 Home Care Services, Compassionate In-Home Care Services At 5280 Home Care Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
At ComForCare in Denver South, we offer an extensive range of in-home health care services tailored to meet the unique needs of your loved one. Whether you need senior care or in-home care services for a loved one with an...
At Namaste, we are redefining healthcare by setting the standard for exceptional service. Our vision is to be the trusted partner that enhances lives and brings comfort, dignity, and peace to those we serve.
303 Homecare LLC is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors - South Metro Denver, CO is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elite Home Health Care is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Comfort Care Home Health is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Harris Home Health is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why Executive Home Care? For nearly 20 years, we have been placing kind, thoughtful caregivers with people who need extra help with the basics of daily living. We consider it an honor to be a trusted resource wherever...
Acti-Kare of Parker, CO is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver...
When seeking a care service for seniors, those with disabilities, illness or recovering from injury or surgery, there are many factors to consider. You undoubtedly have many concerns and reservations. This is perfectly...
Cornerstone Caregiving provides compassionate, personalized home care, allowing seniors to remain comfortably in their own homes. Our skilled caregivers offer flexible, high-quality support tailored to the unique needs of...
Personalized Senior Home Care Services in Littleton. Our services are tailored to meet your unique needs. We provide one-on-one care on your schedule. Regardless of the senior services you may require, we charge one flat,...
Talem Home Care - Denver, CO is a home care provider that services in Parker, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. At Assisting Hands Home Care, we understand. Our trained dependable...
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...
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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.