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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:
A Better Solution In Home Care has been helping individuals and families with their care needs since 2000. We have a full service staff available 24 hours per day, 7 days per week. Our staff are experienced, professional,...
Lara started working at Caring in 2007 to help her mom manage office duties. Since that time, she has worked in all facets of operation and has played a key role in the growth of the New Braunfels office, all while...
Alomega Home Health Care LLC-San Antonio is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are an in-home personal and companion care agency that has helped families all over Dallas and surrounding areas. We have a Personal Assistance Services License issued by the Department of Aging and Disability Services...
At Sacred Hearts Assisted Living LLC, our mission is to provide compassionate, high-quality care in a safe and nurturing environment that promotes dignity, independence, and overall well-being for our residents. We are...
Life is Better with Villi of San Antonio, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your...
Terri Hooper opened the Senior Helpers San Antonio office in 2016. Terri comes from a family of natural caregivers and is inspired by the love and dedication she observed by the selfless individuals who cared for her...
Our clients are our top priority, and we are dedicated to ensuring you feel heard, valued, and cared for. With transparent information and clear expectations, we build trust and confidence in our exceptional care that...
e dedicated to enhancing the lives of our clients by promoting independence, dignity, and overall well-being. Our team of skilled caregivers strives to create a safe, supportive, and nurturing environment where seniors...
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
Aidante Care is a trusted home care agency dedicated to providing high-quality, compassionate, and personalized care for individuals in need of assistance with daily living.
At Right at Home San Antonio, we understand that every person’s needs are unique. That’s why we tailor our in-home care services to fit each client’s individual lifestyle, preferences, and needs, helping them live...
Our Promise Adept Home Health provides respite care, intermittent care, and companion services to those in need of care or companionship and light housekeeping.
Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Central and North San Antonio and surrounding areas. At FirstLight, we understand your...
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...
Scott and Megan Archer opened Senior Helpers of Canyon Lake because of their dedication to providing the highest level of home care and client service possible. Megan and Scott are perfect partners when it comes to...
All Your Home Health, Inc. is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Americas Medical Team Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Plus Comfort Care, Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alamo Home Healthcare Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. The right level of care begins with a free personal consultation to create a care plan specific to the level of care you need. Take...
A Soft Hand Home Care LLC, Compassionate In-Home Care Services At A Soft Hand Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Acts Of Kindness Homecare of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abiding Home Health LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Grace Primary Home Care of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
A Amazing Home Care of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amed Home Health is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amour Home Health LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Thank you in advance for the opportunity to serve you and your loved ones with our in-home care services. We plan to treat everyone with compassion, dignity, respect and will ensure that every staff member at Above and...
Alpha Care Service LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adoni Home Health Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A & C Health Services Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Brighter Place LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Access Home Health Agency of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANGELS OF MERCY HOME CARE is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AA Care Services is a reputable home care agency located in San Antonio, New Braunfels and surrounding areas dedicated to providing high-quality in-home care and support services for individuals in need. With a strong...
A Good Home Health Care is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adult Companion Care Home Healthcare is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Plus Family Care LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
About Acti-Kare Responsive In-Home Care Acti-Kare’s Mission The Acti-Kare mission is to provide quality care and companionship to seniors and others by offering a broad range of supportive in-home care services that...
AFFINITY SENIOR CARE OF TEXAS LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in River City or in surrounding areas like Downtown, Midtown, or Alamo Heights.
Access Quality Therapy Services is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Cardinal Senior Care - San Antonio, TX is a home care provider that services in San Antonio, 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.