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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.
✔
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:
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Maisha Group, LLC provides compassionate and reliable non-medical in-home care services throughout Cumberland County, Maine. Our dedicated caregivers support seniors and individuals with daily living needs, helping them...
Total Care Home Care - Maine's in-home care services are designed to help clients maintain a fulfilling and comfortable lifestyle in familiar surroundings. By addressing daily needs with compassion, we support greater...
At Home Helpers, we understand the desire for seniors and adults to remain in the comfort and familiarity of their own home. That’s why we offer professional in home supportive services that help our clients stay safe and...
We offer the best care available!! Assistance with personal hygiene (bathing, grooming, dressing) Meal planning and preparation Light housekeeping and laundry Medication reminders (non-medical) Mobility assistance...
Our Vision Our goal is to make life easier by delivering the same exceptional care they deserve that we would expect for ourselves and our families. We will provide services to support any individual wherever they call home.
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Seniors Greatness Living LLC is a compassionate and dedicated home care agency committed to enhancing the quality of life for seniors and individuals with unique care needs.
Aging Kingdom Homecare is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New England Family Healthcare is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
VERITAS CARE OF MAINE INC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PROFESSIONAL HANDS HOME CARE, LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Individual Care of Maine is a trusted home care agency established in 2016, dedicated to providing compassionate and personalized senior care services. With a focus on enhancing the quality of life for seniors, the agency...
AB Home Health Care, LLC Portland, ME is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our vision is to be Maine’s most trusted provider of home care services, known for our unwavering commitment to compassionate support, innovative care solutions, and empowering individuals to live safely and independently...
HomeCaire is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
As caregivers of older parents , we’ve been in your shoes and know how challenging it can be to effectively manage these roles while also juggling careers and the busyness of life. That’s where SavePlus Home Care comes...
Noble Home Health Care is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Holding Hands Home Health Care, LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SAMARITAN CARE LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Luxelife Caregiving of Maine LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Benesha Home Care LLC provides compassionate, personalized in-home care services to seniors and individuals with disabilities, helping them live safely and comfortably in their own homes. Our dedicated caregivers offer...
PG Personal Care LLC is a trusted home care company based in Portland, Maine, dedicated to providing personalized care and support services for individuals in the comfort of their own homes. With a commitment to enhancing...
We believe that compassionate care begins at home. Our experienced caregivers offer personalized assistance with daily activities, companionship, and specialized support, ensuring each client maintains their independence...
Our vision at Simed Homecare is to be a leader in compassionate and personalized home care, where every individual receives top-quality support and attention in the comfort of their own home. We aspire to set a new...
Advantage Home Care is a State of Maine licensed personal care agency that serves all of Cumberland County (greater Portland) and Northern York County as far south as Kennebunk. We provide in-home care for the elderly and...
Affinity Home Care LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Top Care, LLC is a trusted provider of high-quality home care services, dedicated to helping individuals maintain independence and comfort in their own homes. We specialize in personalized, compassionate care for seniors,...
Affordable Care LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Pathway Care Services LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Luna Home Care is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services - Portland is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At COR Health, we understand how difficult it is to ask for assistance, and are sensitive to the overwhelming amount of choices available when confronted with care needs. You do not have to face these challenges alone....
Unity Home Care LLC, ME is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GRACEFUL CARE LLC is a home care provider that services in Portland, ME. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide unwavering support and compassionate care to individuals in need, ensuring they live with dignity and independence within the comfort of their own homes. We are committed to fostering...
Would you or a loved one benefit from in-home senior care in York? If so, please contact us at Amada Senior Care in York for a Free Care Needs Consultation. We specialize in providing comprehensive, non-medical, in-home...
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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.