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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.*
✔
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:
Fidelity Home Care is a trusted provider of compassionate, high-quality in-home care services for individuals in need of assistance with daily living activities. With a strong commitment to personalized care, Fidelity...
At Greta’s Care Agency LLC, our mission is to provide compassionate, reliable, and person-centered care that enhances the quality of life for every client we serve. We are dedicated to supporting individuals and families...
For those who wish to age peacefully or recover in a comfortable and familiar environment, HomeWell Care Services is committed to bringing you the highest quality of non-medical care and everyday support wherever you call...
Elders Choice of PA is a provider of non-medical home support services in Southampton, PA. Our company was built around the idea that, ultimately, what makes a quality life possible is our clients' sense of...
Breeze of Care, LLC proudly serves Bucks and Montgomery County, PA, offering compassionate in-home care including personal care, companionship, transportation, and live-in support. With over 35 trained caregivers and a...
Right Now Home Care is a home care provider based in Philadelphia, Pennsylvania. We understand that every client has a different care plan they need for their individual lives. Our daily services include meal preparation,...
A Ray of Sunshine is a Private Home Care Agency. We designed a well-rounded program that encourage Participants and their loved ones to live independently. Committed to standing out from the rest, our home care services...
Neighborly Home Care - Ardmore is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Options for Senior America, we believe aging should never mean giving up independence or dignity. Our Wayne, Pennsylvania team is dedicated to providing high-quality, personalized in-home care that allows seniors to...
Neighborly Home Care provides a comprehensive range of personal care services to assist seniors or anyone who needs help with activities of daily living, in their home or residence. We understand that maintaining your...
To be the most trusted and compassionate provider of home care services, empowering individuals to live with dignity, independence, and joy in the comfort of their own homes.
We provide non-medical, aide services and companion care to seniors, elderly, and physically challenged adults. Through coordinated care and support for clients and their families, we enable our clients to live at home...
The entire professional care team at Amada Senior Care Philadelphia West Suburbs understands the importance of quality senior care that helps aging adults thrive and live safely and independently. Choosing the right home...
Compassionate Assistance is a family-owned, non-medical home care provider. We are dedicated to providing the highest quality, compassionate in-home personal care to families with loved ones that are chronically ill,...
he Seniors Helping Seniors® team provides affordable, professional in-home care services and heartfelt companionship for seniors. Our caregivers, who are seniors themselves, understand the importance of remaining...
BrightStar Care of W. Montgomery Co. offers in-home care and medical staffing that goes above and beyond. We call it “A higher standard." Our Professional Care Team, led by a Registered Nurse Director of Nursing,...
Age in Place - Philadelphia/Montgomery Region is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Newtown Caregiving Services, our mission is to provide compassionate and reliable home health care services to our clients. We strive to improve their quality of life and help them maintain independence in the comfort...
At Pennydynamic Care at Home, our mission is to provide compassionate, personalized, and high-quality in-home care services that enhance the well-being and independence of our clients. We are dedicated to delivering care...
Companionship is key to a trusted relationship with our caregivers. We are committed to providing high quality, client-centered and affordable Home Care services to our clients to assist them to lead dignified and...
ABOUT OUR COMPANY Burdean Quality Caregivers was founded with a mission to provide exceptional in-home care tailored to each individual’s needs. With years of experience in the healthcare industry, our team is composed...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
Cornerstone Caregiving is a senior home care provider in Central Philadelphia that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required....
To be the leading provider of home care services, recognized for our commitment to excellence, innovation, and heartfelt care — empowering individuals to live safely, comfortably, and with dignity in the place they call home.
Since 2011 Senior Helpers of Chestnut Hill – Philadelphia is the premier provider of senior care, wherever your senior resides in Philadelphia, Montgomery and Delaware Counties. We provide a full range of senior home care...
One You Love Homecare - Huntingdon Valley/Mainline, PA is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Allegiant Home Healthcare is a family owned and operated non-medical home care company. We have a combined 35 years of experience in the home and health care industry. Our experience, expertise and loyalty to the...
At Senior Helpers of Greater Philadelphia, we deliver dependable in-home care tailored to your family’s needs. We help adults live safely and independently—right where they’re most comfortable: at home. Whether you need...
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...
Cornerstone Caregiving is a senior home care provider in Greater Philadelphia that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required....
At HomeWell Care Services of Bensalem, we believe there’s no place more comforting—or more empowering—than your own home. That’s why our mission is to bring exceptional, dependable in-home care directly to you or your...
At BrightStar Care Greater Chester County, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve. BrightStar...
Elder Home Care - Philadelphia, PA is a home care provider that services in Philadelphia, PA. 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...
A home care agency provides compassionate, personalized support to individuals who wish to remain independent and comfortable in their own homes. Through trained caregivers, the agency offers assistance with daily...
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...
At Always United Care LLC, we believe every person deserves to age with comfort, dignity, and love. Our caregivers go beyond routine support—building meaningful relationships and providing peace of mind for families....
Amada Senior Care of Bucks and Montgomery County, PA is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Act Home Health Services Inc is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Philadelphia Community Care is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aanu Home Care is the provider of choice for the personal care of yourself and your loved ones. We provide in-home assistance to people who are injured, senior citizens or any adult who needs a helping hand with personal...
Our home is where we feel safe and comfortable the most. And living with a companion makes all things easier and better. If you need a partner in your daily life, turn to Pure Hearts & Helping Hands Home Care Agency. We...
Holy Redeemer Home Care-PA is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare, the most trusted name in non-medical home care, is helping people have a safe home life with comfort, independence and dignity – one family at a time. We believe our clients and their families deserve...
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...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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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.