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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
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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 Mon's Homecare, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each client...
At Dynamic and Integrated Homecare Services, we understand the importance of maintaining independence and quality of life for everyone we serve. Our Mission is to provide the support and assistance needed to live...
We understand that the first step in determining what type of care is most appropriate is to first meet with a client for a complimentary in-home assessment and visit. Our goal is to help you experience the least...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
A Place At Home is a company that focuses on providing personalized, compassionate care for seniors, offering services such as in-home care, assisted living, and memory care. With a mission to help older adults live...
Experience the benefits of personalized assistance in the comfort of your own home. Our dedicated caregivers offer support with daily activities, companionship, and specialized care, ensuring that you or your loved ones...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Centry Care Plus is a non-medical service that provides emotional support, socialization, and practical help for adults who want to maintain their independence. Services include companionship, assistance with errands and...
For quality in-home senior care services in Baltimore, you and your loved one can count on, turn to Homewatch CareGivers®. Our experienced team of qualified care professionals undergoes extensive background checks and...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
2nd Family - Eldersburg is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
Caring Hands of MD, Compassionate In-Home Care Services At Caring Hands of MD, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our...
U.C.N.A is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rejoice Health Services is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Parkville Nursing and Rehabilitation is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jerry’s Caring Hands, Inc. is an home healthcare agency that specialized in nursing staffing solutions such as Registered Nurses (RN), Licensed Practical Nurse(LPN) and caregivers. We serve clients who are not able to be...
Community Care Nursing Services is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Oak Crest Village is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pillars Nursing Services was founded with a passion for providing high-quality home health care services to seniors and individuals with disabilities. Our founder, who has over 4 years of experience in the healthcare...
At Ultimate Home Health Care Staffing L.L.C., located in Parkville, MD, we are dedicated to providing compassionate, non-medical in-home care services that promote the independence and well-being of our clients. Our team...
At Adels Healthcare Coordination, we serve clients in all counties in Maryland. Whether your loved one needs care in their home, a nearby assisted or independent living community or elsewhere, our custom homecare services...
Zara Inc is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bless Up Home Health Care LLC is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessed Hope Home Care Services is a home care provider that services in Parkville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help at Home Services’ mission is to provide superior service through the same care, concern and compassion that we give our own families. With our 15 years of experience as a Residential Service Agency, licensed by the...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health.
Complete Home Care was established in order to assist you or your loved one overcome any burden. As a local Residential Services Agency, we pride ourselves on offering the most comprehensive home care services.
Our primary objective is to bring more enjoyment to the lives of those who find it increasingly difficult to function well on their own. We remove the burden of stress from both the person needing assistance as well as...
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 Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
We are a family-based residential service agency providing safe, respectful, and dignified non-medical home health care to veterans and adults of all ages throughout Baltimore, Carroll, and Howard counties.
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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.