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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:
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 exist to offer a holistic approach to providing compassionate, quality, innovative home care services to people in their homes. Hospitality Home Care strives to achieve the highest standard in the industry by providing...
We at FirstLight Home Care exist to help people have their best day, every day. Our mission is to provide compassionate home care so that the families we serve have peace of mind knowing their loved ones are receiving the...
We are dedicated to providing excellent, extensive, humane and respectful home care services to the communities we serve, while providing comfort in their own homes or other areas of their choice. At Handy Care, clients...
Aristo Healthcare Services, LLC is a healthcare staffing services company focused on providing quality staffing services, Educational Consultation and patient care. Aristo Healthcare is an emerging name in the field of...
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 Favour and Grace LLC In Home Care Services our commitment is to transform the way in-home care is experienced—by blending compassion, excellence, and truly personalized support.
At Sifa Home Care Agency, we believe exceptional care begins with understanding. As a veteran-owned provider, we bring professionalism, reliability, and heartfelt commitment to every client we serve. Our team of trained...
Touching Hearts at Home offers an array of home care services for seniors, people living with medical conditions or disabilities, those in transition from hospital to home, and anyone over the age of 18 who can benefit...
Our mission is to provide high-quality in-home care services that keep our loved ones safe in comfort of their own home. This philosophy guides our team members, from our franchise owners to our caregivers. Many were...
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...
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...
Homewatch CareGivers of Mountlake, WA is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Family-Owned and founded locally in Washington State, The Home Care Company is proud to serve the entire Puget Sound Area. Utilizing 15 years of experience, we have made it our Mission to: Help Our Clients...
Senior Helpers is the premier provider of senior care, wherever your senior resides. We provide in-home care and personalized care in the comfort of your own home and at other residential locations including assisted...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
We Are Available For Home Care Consultation At New Life Home Care, we believe that seniors deserve to live with dignity, respect, and joy. We are here to make that possible by providing reliable, compassionate care...
Welcome to GrandCare Team, a leading referral and consultation company for care of the elderly and people with developmental disabilities. Our goal is to provide the best support and care possible. With years of...
Caring for seniors is a labor of love and requires a special person. At Salama Care we specialize our services to fit your needs, whether it be a few hours or around-the-clock care, we work with you to ensure we meet...
Serengeti Care is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AccentCare of Washington, Inc. is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Choice Home LLc is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Valley Senior Care Center provides compassionate, in-home support to seniors, helping them maintain independence and dignity in the comfort of their own homes. Our trained caregivers offer personalized services, including...
With Hyatt Home Care as your home care services provider, you will enjoy personalized service built around your needs. We know you have a lot of questions about home care services for your elderly loved one. We have a...
There is no place like home. Northwest Guided Home Care makes aging in place possible for millions of seniors. Moving out of your home into a nursing home or an unfamiliar place can be traumatizing for most seniors....
Our vision at Homecare Partners is to become the preferred home care provider in the state of Washington, known for excellence and dedication to each client served. Our commitment is to care for our client at their most...
Our Focus Is Helping Seniors Live Well At Home. At CarePro Northwest, we believe in creating special moments for our clients each and every day, whether at the bedside, on the phone or in the clinic. These moments...
Our client’s health and well-being are our priority. We pride ourselves on providing aid for aging adults while maintaining their freedom and finding joy in everyday situations. Our compassionate care services prioritize...
Kindness Adult Family Home is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Serengeti Care - Westside is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providence Home Services - King County is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cloudland Home Care Limited Liability Company is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aims Home Health Care Services is a home care provider that services in Renton, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Plentiful Care, LLC, our mission is to provide exceptional and personalized home care services to our clients. We strive to promote independence, improve the quality of life, and enhance the overall well-being of our...
Griswold Home Care is a non-medical home care company. We refer Caregivers who provide in-home care services including personal care, homemaking, companionship, and other home care services. Griswold Home Care was...
SeaCare In-Home Care Services SeaCare was born out of the need to do better for our loved ones and our community. The founder of SeaCare witnessed her grandmother receiving subpar care, and she knew the only way to make...
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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.