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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...
Our mission is to deliver compassionate, reliable, and high-quality care that empowers individuals to live safely and comfortably at home. We aim to build lasting relationships based on trust, respect, and genuine care.
At Compassionate Hands Home Care, located in the heart of Philadelphia, we are dedicated to providing exceptional non-medical home care services to enhance the quality of life for our clients. Choosing private pay care is...
Premium Home Care Services provides high-quality, non-medical in-home support designed to help seniors and adults maintain independence, comfort, and safety at home. Our caregivers offer personalized assistance with...
MMKOL Community Health Services is dedicated to delivering compassionate, non-medical home care that supports independence, safety, and quality of life.
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...
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....
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,...
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...
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...
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...
At Travelers Care Companion Home, we strive to provide only the best service to our clients. Our team comprises dedicated individuals who can be relied on to care for others with professionalism and kindness.
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...
At Graceful Hearts Services, we believe that everyone deserves to age with dignity, independence, and love. We proudly serve the greater Philadelphia and surrounding areas with personalized in-home care rooted in...
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...
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...
Haven Homecare Inc. provides compassionate, dependable in-home care services that promote comfort, dignity, and independence. Their dedicated team delivers personalized support to seniors and individuals in need,...
ETW Care Services, LLC is a compassionate home care agency dedicated to helping individuals maintain independence and comfort in their own homes. With personalized support and dependable caregivers, the agency provides...
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 Care for Me Home Health Services, our mission is to deliver compassionate, high-quality, and personalized home health care that promotes independence, dignity, and well-being for every individual we serve. We are...
Hearts of Gold Advanced Care LLC is a compassionate, client-centered care organization dedicated to enhancing the quality of life for individuals and families in need of dependable support. Built on a foundation of...
Yannie Home Care provides compassionate, personalized in-home care where every client is treated like family. With a focus on dignity, trust, and comfort, we tailor our services to each individual’s needs, creating a warm...
Attentive Home Care is a licensed home care agency that was founded in 2010 to support seniors and individuals with physical and intellectual challenges who are dealing with sickness at home, recovering from an illness,...
August Loving Home Care, LLC provides compassionate, non-medical in-home care. Our dedicated caregivers offer personalized support with daily living activities such as meal preparation, light housekeeping, medication...
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...
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...
L&R Home Care Agency, LLC is a trusted provider of personalized in-home care services dedicated to helping individuals remain safe, comfortable, and independent in the place they call home. We offer a compassionate range...
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...
Formosity Support Services, LLC is a non-medical home health agency with over 10 years of experience providing compassionate and reliable care. They are dedicated to helping seniors and individuals with disabilities live...
A Touch Of Care Home Care LLC 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 Home Health 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...
ALFOUZ CARE SERVICES LLC 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...
A DEVINE INTERVENTION LLC 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...
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...
Our mission is to provide paraprofessional services to clients in their place of residence thereby assisting them to realize his or her highest level of independence and quality of life. We are committed to providing...
ANC Home Health Services 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...
ASORTA CARE AGENCY, LLC 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...
Assisting Hands Home Care of 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...
Abby's Support Services LLC 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 care agency provides essential in-home support services to seniors and individuals with disabilities, helping them maintain independence and quality of life. We offer assistance with daily activities such as...
A&S Home Care Alliance is a certified healthcare service provider that is located in Philadelphia, Pa. We service Philadelphia, Montgomery, Chester, Bucks, and Delaware County.
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.