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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 and a loved one in your life require care assistance, Executive Home Care is ready to lend a hand. Find out more about the expert and compassionate senior living care that is offered in the comfort of one’s own...
At Brownes Assistance Care LLC our commitment is to transform the way in-home care and assisted living is experienced by blending compassion, excellence, and a truly personalized support. Our mission is to help...
At Caring Hands Home Health Agency our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and a truly personalized support. Our mission is to help individuals live safely...
Hello! We are Marshall & Kacy Oden and we would like to welcome you to the Griswold Home Care Office of Garland, TX. We independently own and operate the Garland office and are very proud to offer affordable, high...
Compassionate and Personalized Home Care in Rockwall Navigating the journey of caring for aging loved ones can be daunting and overwhelming. At Cornerstone Caregiving Rockwall, we specialize in providing compassionate,...
Homewatch CareGivers of Northeast Garland, TX is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ruth Home Health Care is dedicated to providing compassionate, personalized in-home care for seniors and individuals with unique needs. Our experienced team focuses on enhancing comfort, safety, and independence, allowing...
We provide specialized care in the home that meets the needs of adults, seniors, those who have chronic illnesses, temporary illnesses, recent injury or surgery and anyone who needs extra support.
Senior Care Transitions, LLC is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Provide Care That Keeps You Safe at Home When a loved one becomes weak, recovering from illness, or at risk for falls, home can suddenly feel unsafe and overwhelming.
Making sure an elderly individual or other adult family member is safe and comfortable at home can be a challenge. Let FirstLight Home Care of Rockwall help. We offer personalized home care services to seniors, veterans,...
Whether it’s helping with chores, providing medication reminders, or meal assistance, ComForCare gives you the freedom to focus on spending quality time with your family members and loved ones.
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....
Our path is simple- to make a difference to our clients while helping them achieve their best selves, providing best possible individualized care from people who truly care. We understand life has lots of journeys and...
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
At Amada we understand that caring for relatives can be rewarding but also stressful, time consuming and emotionally exhausting. It is difficult for families to juggle work, children and other obligations and still find...
Learn more In-home care, encompassing both personal and companion care, provides assistance to individuals with special needs, allowing them to remain in their homes while receiving support for daily living activities...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
At Christian Companion Senior Care, we have been providing reliable and affordable in-home care services to clients in Dallas, Rowlett, Sachse, Wylie, Rockwall, Richardson, Plano, Garland, Mesquite, Forney, Fate, Royse...
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
Our home care services can help aging adults stay engaged in everyday life with tailor-made support by professional caregivers to stay safe and well at home. It’s our mission to provide a care plan personalized to your...
E Care Home Health Services is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
No Place Like Home Care LLC is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
NO PLACE LIKE Home Care is committed to allowing seniors to follow their own path in aging with comfort. Our mission is to provide the most innovative resources and support services to allow families to make the best...
Charry Health Care Services Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chesther Home Health Services Inc of Rowlett, TX is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lydia Home Health Care LLC is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bc Home Healthcare Services Incorporated is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Health Quest Home Health Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Olives Home Health Care Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KIND KARE HOMES LLC is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Optimum Base Services Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carmel Health Care Services Pllc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trinity Home Health Agency is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Imanuel Health Services is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glorious Home Health Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Emrick Home Health is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TENDER CARE INC is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trendy Care Home Health Services is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Remedy Home Health Agency Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Intouch Home Health Inc is a home care provider that services in Rowlett, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anointed Hhc Inc is a home care provider that services in Rowlett, TX. 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.