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:
A Hand From Above provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and companionship,...
Once you have determined that your elderly loved one needs assistance, it is important to honor their wish to remain happy and independent in their own home. But for your own peace of mind, you need to know that they are...
Senior Helpers Greensburg is proudly serving seniors and their families in Westmoreland and Eastern Allegheny Counties since 2007. We provide a wide range of services including: companionship, household chores,...
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'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'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...
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained,...
Trusted Senior Home Care in West Pittsburgh, Pennsylvania Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the week,...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Welcome to Cornerstone Caregiving. We are a senior in-home care service that allows your loved ones to stay where they feel most comfortable: home. We are experienced senior care professionals who are willing and ready to...
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...
Autonomy Home Care Agency of Pittsburgh, PA is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ambassador Nursing Care is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always at Home is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Fox Chapel - Pittsburgh PA is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
Candid Homecare of Pittsburgh, PA is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Moving from the hospital back to your home is nothing to be taken lightly. Similarly, your transition in to your senior years is not something that comes as a smooth and easy experience for everyone. At Active Living Home...
ALLIED/VADA COMMUNITY HEALTHCARE, LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Christian Home Healthcare staff provides a wide range of in-home services. But the support that our caregivers offer in between the loads of laundry, meal preparation, and chores can be just as meaningful. There are...
ALWAYS AT HOME CARE LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care America is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place For Us In Home Care Services LLC provides personal care services such as hands-on assistance with activities of daily living (ADLs) services in the patient's home with the goal of enabling the patient to remain at...
Acta Care, LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
An Amazing Personal Care Corp. is a provider of home care in Pittsburgh, Pennsylvania, devoted to furnishing amazing solutions that meet the unique demands of ever-changing home care needs. Every caregiver in our team is...
Our Goal The main goal of providing in-home care is to provide a better quality of life to our patients and the confidence to their families that their loved one is well looked after. Whether the elderly, an adult or...
Christian Home Healthcare, PA is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bayada Nurses Pittsburgh is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Pure Blessing, LLC emphasizes a holistic approach, addressing not just physical needs but also emotional well-being through compassionate and consistent care. Their caregivers are trained to deliver high-quality...
BURTON HOME CARE LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessed Dedicated Home Care Agency, LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Of Care By TLM LLC is a licensed insured and bonded Home Care agency based in Pennsylvania. We provide 24-hour care including live-in services, that provides one day service up to 24 hours a day, short-term and...
BRIDGE CITY HOME CARE LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Solutions in Pittsburgh, PA is a provider of various healthcare services, focusing on delivering personalized care solutions to meet the needs of individuals and families in the area. They offer a range of services...
At Alston Home Care Solutions, we provide reliable and affordable home care services to clients in the Allegheny county and surrounding areas. Whether you need daily health related attention or are looking for appointment...
A CARING HEART HOME HEALTH CARE, LLC is a home care provider that services in Pittsburgh, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
OptimalCare Independent Services mission is to provide high quality optimal care services to our clients with honesty, integrity, professionalism, and most of all with high ethical standards.
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...
Apple Caregiving Agency LLC is a dedicated provider of personalized in-home care services, focusing on enhancing the well-being and quality of life for individuals in need of care.
Acti-Kare 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 every time....
Jeff Kosor opened the Senior Helpers of Southwest Pittsburgh office to provide dependable, affordable in-home care to seniors throughout Southwest Pittsburgh community. Senior helpers creates a comprehensive at-home plan...
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...
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...
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.