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:
At Kindred at Home, our Personal Home Care Assistance can assist with personal care, daily living necessities, and help around the home. If you or a loved one is struggling with prolonged illness, recovery from surgery,...
Amevian Home Care you can count on finding and keeping reliable, high-quality care shouldn’t be difficult – but it often is. It all comes down to partnering with the right people. With our Sacramento caregivers and local...
At FirstLight Home Care of Parkway, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have their...
Senior Helpers of Solano/Yolo is owned and operated by Bob Nations. He has been in business for over 18 years and really cares about his clients and caregivers.
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Senior Helpers of East Sacramento was established in 2021. Our office is owned and operated by Ryan Breen, who is an advocate for high-quality senior care. At Senior Helpers of East Sacramento our primary goal is to help...
Senior Helpers of Sacramento/Placer is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carescope offers a wide range of high quality non-medical care services, which have let the organization stand out among other services like our own. Our home health care services range from minimal companionship to...
Carescope In Home Care- Sacramento is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Sacramento, CA is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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....
Kaiser Foundation Hospital Home Health-Sacramento is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abbey's Petra Fonte LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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....
Welcome to the ASSURED CARE website. We are a family-owned and -operated agency that provides quality and affordable in-home care services. Our goal is to always meet the needs of our elder and senior communities.
AccentCare of Sacramento, CA is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxim Healthcare Services, Inc is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregivers of Land Park LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Habitat Health- PACE is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Friendly Island In Home Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Choosing the best home care agency for your loved one is something most people are not prepared for, but Amada Senior Care is here to show you the way. Correy Webb and Joel Wilson, the owners of Amada Senior Care...
Prohealth Care, Inc of Sacramento is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All For You Home Care is a professional home care organization with a deep commitment to the people we serve, their families, and the care givers we hire to serve you. This is what makes your care so special. To get...
Prasad's Senior Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Flourish Home Care, LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ApexCare® is a full-service and independent in-home care agency that has served the senior community of Northern California for 25 years. With offices in Roseville, Sacramento, Stockton, and Modesto, we are able to serve...
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...
Capstone Care Partners is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LIFESTYLE HOMECARE FACILITY is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ASAP Homecare LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARESCOPE specializes in providing quality In Home Care Services to seniors throughout the greater Sacramento region, including, but not limited to, Elk Grove, Roseville, Rocklin, Lincoln, Auburn and El Dorado. We offer...
ACASA Senior Care – Corporate Franchising is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Above and Beyond Home Care INC. is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INDECARE In-Home Care Sacramento, CA Alan and Karen Fisher, Owners My wife Karen and I founded INDECARE in 2006 out of the frustration my family experienced in trying to find someone reliable and trustworthy to...
Pro Care Home Health Services is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Sacramento, CA is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Purposeful Angels Home Care Personal Care in Pleasanton, California. You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are...
Mercy Home Health is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Years In-Home Senior Care is an innovative leader in the area of non-medical in home care. Our specialized care covers a wide range of services that relate to supporting and maintaining a happy healthy and safe...
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...
At Gentlehands Home Care in Dixon, California, our mission is to provide compassionate and personalized care that enhances the well-being and quality of life for our clients and their families. We are dedicated to...
Right at Home Right at Home was founded 13 years ago because we saw the anguish families go through when care needs arise. Our guiding principal is that the best care focuses on improving the quality of life, one...
Caregivers Who Are Experienced & Specially Trained Our team at Polaris Home Care is able to provide you and your loved one with premier home care services. Whether you need 24/7 care for your loved one or someone who...
We are a devoted service organization focused on enhancing the quality of life for individuals and their families through comprehensive support and care. Our mission is to bring comfort, support, and a sense of dignity to...
Home care has never been more convenient than with FirstLight Home Care. If you or an adult you love are in need of home care services, count on FirstLight to be there. Our friendly and highly trained staff offers home...
Golden Years In-Home Senior Care is an innovative leader in the area of non-medical in home care. Our specialized care covers a wide range of services that relate to supporting and maintaining a happy healthy and safe...
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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.