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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:
When you need to find care for someone you love, it’s important that it feels right. With SYNERGY HomeCare, you’ll find the best tools and resources, specialized training, and caregiver compassion, all in one place. Life...
Always Responsive Home Care is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to seniors and individuals in need of assistance.
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More than 90% of seniors want to be able to age in their own home with dignity but getting the right type of care can seem daunting. At Senior Helpers of Princeton, NJ, we believe that getting the best care for your...
Here at Close at Homecare mission is to exceed customer expectations by providing compassionate, high-quality, and personalized home care that enhances the well-being, independence, and dignity of every client we serve.
Our Mission At Family Helpers Home Care, it’s our mission to create a compassionate environment for each person entrusted to our care and to inspire hope and healing by helping those individuals to enjoy the best...
Our Registered Nurses, Licensed Practical Nurses, Certified Home Health Aides and Companions are a well-coordinated team providing non-medical and skilled nursing services in the home or within assisted living, skilled...
Zenith Home Care Agency - Cranbury, NJ is a home care provider that services in Princeton, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pinnacle Home Care Solutions was founded to provide a refreshing alternative to the way home healthcare is delivered. Our mission is to provide care in a responsible, dignified and transparent way. We are owner-operated...
Akin Care LLC is a home care provider that services in Princeton, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our home health aides provide essential non-medical care, helping clients with daily tasks to promote comfort, safety, and independence. Our aides are compassionate and attentive, ensuring every client feels supported and...
At Interim HealthCare of Mercer County, we know how important it is to be in a comfortable, familiar environment. We all value our independence, however, sometimes the best way to maintain our autonomy, or preserve that...
Our MISSION is to provide care that is never-ending. We strive to give each individual that is in our care a safe and peaceful life. Each member of our staff embodies our true belief; that everyone of our clients is...
GA Lourdes Senior Care LLC, located in Somerset, NJ, is dedicated to providing compassionate, high-quality care services tailored to the needs of seniors. Their mission focuses on promoting dignity, independence, and...
At Grace Home Health Care, our mission is to provide compassionate, personalized, and high-quality healthcare services to individuals in the comfort of their homes. We are dedicated to enhancing the quality of life for...
Wayne Morgan, owner of Amada Senior Care Central NJ, truly understands that choosing the right home care agency for an aging loved one is a decision most people are not prepared to make. Wayne and his team at Amada...
While a skilled home healthcare professional changes your loved one’s prescriptions, an in-home caregiver helps them remember to take medications day in and day out. A home healthcare agency can change your loved one’s...
Exceptional in home caregiver services deliver peace of mind for you. Trained and experienced caregivers are employed by our agency to keep your loved one safe while protecting their independence and preserving their...
Princeton Homecare Services, Princeton Health Care is a home care provider that services in Princeton, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Nurture Home Care! 🏡🌟 We're delighted to extend our warmest greetings as you join our compassionate family. At Nurture, we understand the importance of the home setting and the comfort it brings. Our...
We Provide Home Care Service in Princeton, NJ for Your Family Experience compassionate, personalized home care in Princeton, NJ to your loved one’s unique needs. Caring Hands Senior Services, we’re dedicated to enhancing...
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...
na Cares Senior Service is a reputable and compassionate senior care agency dedicated to providing exceptional care and support to elderly individuals. With a team of highly trained and experienced caregivers, Ana Cares...
One You Love Homecare - Central New Jersey is a home care provider that services all of Central New Jersey with offices in Princeton, Freehold, and East Brunswick, NJ. Home care services allow seniors to remain safely in...
ComForCare Home Care - Mercer County, NJ is a home care provider that services Mercer County, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.