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 Griswold Home Care for North San Diego, we offer compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and integrity, we...
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Cornerstone Caregiving is proud to provide in-home care and an array of services like palliative care, respite care, senior care, Alzheimer’s & dementia care, and assistance with activities of daily living in North San...
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David Wallace opened Senior Helpers San Diego in 2008 after seeing how a professional caregiver brought joy and peace of mind to his late grandmother—and to his entire family. David’s personal caregiving experiences...
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Senior Helpers San Diego County is owned and operated by Jennifer Fernandez. Every day, our dedicated caregivers go into clients’ homes to provide high-quality, compassionate care. We take the needs and preferences of our...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
Alpha Homecare LLC, Compassionate In-Home Care Services At Alpha Homecare LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our...
At Blue Check Home Care, we’re a licensed, bonded, and insured Home Care Organization authorized by the California Department of Social Services. We provide exceptional non-medical assistance to people—enhancing...
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Senior Helpers of Escondido, CA is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care San Diego is a leading provider of high-quality home care services, dedicated to ensuring the wellbeing and comfort of San Diego seniors and their families. Navigating the challenges of caring...
SYNERGY HomeCare of Scripps Ranch is led by Greg and Uyen Enrique, two dedicated professionals with a shared passion for making a meaningful impact in people’s lives. Their expertise and dedication ensure the highest...
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At BrightStar Care Carmel Valley / Rancho Santa Fe, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve....
Pacifica Medical is a CHAP Accredited, Medicare Certified, Licensed Home Health Agency offering the highest level of care outside a hospital or nursing home. Home Care Services are available for private pay, Medicare and...
Lorian Home Systems Inc is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kaiser Foundation Hosp San Diego HHA Parent is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
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Seniors At Home is the perfect solution for seniors and others who aren't ready to leave their home for an institutional setting or live with relatives, but because of illness or chronic conditions need support to remain...
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Addus Healthcare is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Associate Home Care (AHC) is a non-medical and locally owned and licensed home care agency that serves all areas of San Diego County. It was established with the main purpose of giving the families some...
"Caring for you like family, and helping you maintain your independence" - Your Home Services, Inc. is a locally owned San Diego based company, providing services for seniors and disabled adults. We understood from the...
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AMS Home Care Solutions is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Unique Home Care Inc. is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Seasons Homecare provides assistance to those who need help with everyday tasks because of illness, surgery, or a chronic condition, yet treasure their independence and want to enjoy the comfort of their own homes. We...
Mission Home Health Of San DiEgo Inc is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
F & H Health Care Inc is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home—there’s no place like it. It’s where your memories are. Where you raised your family and where friends have gathered for life’s celebrations. It’s been your basecamp through good times and bad. And it’s where you...
All Heart Home Care is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Years Home Care Solutions Inc - San Diego is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Harmony Home Aides offers 24/7 home care aide services right at your doorstep. We provide care to any population in need including seniors, individuals with disabilities, and those with dementia or Alzheimer's. Our...
Sage Health System is a multifaceted healthcare organization based in San Diego, California with a variety of services to meet all your personal and healthcare needs with our personal in-home care services, home health...
Senior Helpers East San Diego was established in 2020 by advocates for high-quality senior care. At Senior Helpers of East San Diego our primary goal is to help provide a high quality of life for our clients and their...
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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.