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.
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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:
Griswold Home Care was founded by the late Jean Griswold in 1982, making us the oldest non-medical home care franchise organization in the country. While we operate in a growing industry with many respected competitors,...
Homewatch CareGivers provides in-home care for seniors on a weekly, daily, or 24-hour basis, but our teams can also assist with individuals of any age, ability or condition. Get an extra set of hands around the house...
Our senior care services in Houston, TX help aging adults stay engaged in everyday life with tailor-made support to stay safe and well at home. It’s our mission to provide a care plan personalized to your family’s needs...
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...
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
Harmony Hearts Homecare is a leading provider of compassionate in-home care services designed to support the health and well-being of individuals who require assistance with daily living activities.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Tomball or in surrounding areas.
Home Helpers® Home Care is a home healthcare service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and...
At 21st Century Quality Home Care, we are dedicated to providing compassionate, professional, and personalized care services that empower individuals to live with dignity, comfort, and independence.
FirstLight Home Care strives to be the industry leader of The Woodlands, Northwest Houston and Katy in home care, respite care, and senior care. We work hard to ensure we have the most skilled and trustworthy caregivers....
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 are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The Woodlands or in surrounding areas like Spring, Porter Heights, or Tomball.
At Crown Care Provider Service, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
At Angels Over Us North LLC, we believe that every client deserves care delivered with compassion, dignity, and trust. Our experienced caregivers offer personalized assistance with daily activities, companionship, and...
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...
Right at Home's in-home senior care is the best solution for maintaining a healthy lifestyle and loving relationships. We provide companionship, physical assistance, Alzheimer's care and respite for families. Whether your...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
We support seniors and their families by providing opportunities for meaningful engagement. Our caregivers building authentic, caring relationships and implement custom care plans that evolve with a senior’s needs.
At Your Side Home Care - The Woodlands TX is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ample is dedicated to enhancing the quality of life for Seniors and individuals with disabilities within Texas. As an in-home care provider, we offer a range of comprehensive support services designed to assist seniors...
Cole Home Healthcare of Houston Inc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HIS SHADOW SERVICES LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aloma Healthcare, Inc is a home care provider that services in Spring, 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 of The Woodlands, TX provides quality in home care services to families and seniors in Shenandoah, Chateau Woods, Oak Ridge North, Louetta, The Woodlands. Our carefully...
Avistacare Health Care Services Inc of Conroe, TX is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Prestige Homecare, nothing matters more than your health and well-being. Our team of health professionals has made themselves readily available to take on any health-related matter you might need. At Prestige Homecare,...
Eastgate Healthcare Services Inc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team has served loving families in The Woodlands Area, and we look forward to working with you and your family. With over 100 years of combined nursing, care management, and caregiving experience, our team is eager to...
At allaround Care, our mission is simple yet profound: to provide dependable support and caring service in a family atmosphere. We believe that every individual deserves to age with dignity and independence within the...
Ameripro Healthcare Group LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Perpetual Home Health Llc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Embrace Health Care System is a comprehensive healthcare provider committed to delivering exceptional, patient-centered care across a wide spectrum of medical services.
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Why Choose Us? Homecare Angel's is a locally owned homecare solutions agency in The Woodlands, TX. We have a unique model of care allowing a consistent delivery of service. We have over 40 years of combined home care...
Everyday People Home Care Services is a compassionate and professional non-medical in-home care agency dedicated to improving the quality of life for seniors and individuals with disabilities. Our team provides...
Quality Caregivers and Medical Staffing Solutions in Houston, TX At BrightStar Care of North Houston/The Woodlands, TX owned by Rick Hall, our home care agency provides quality home care, caregivers, and medical...
Silver-Spring Healthcare Services is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Windsong Home Health Agency is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
JBS home care has serviced Seniors, Disabled & Veterans with personal care for over 20 years. We are uniquely prepared to provide the highest and most affordable home care services to our Seniors, Disabled and Veterans....
Karing & Passionate Home Care Services specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation, our...
Life is Better with Villi of Houston, 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 daily...
Laurie and Ray Griggs opened the Senior Helpers Bryan, College Station office in 2018 because of their commitment to delivering the best possible in-home care to seniors in the surrounding communities. They have a passion...
Homewatch CareGivers of The Woodlands is one of the most awarded home care agencies in North and Northwest Houston, celebrating our 14th year. We have two nurses on staff to handle every possible care need, and we also...
Angels Instead is a company that offers non-medical home care services. We provide a variety of services to help our clients live their best lives. We are here to help with everyday tasks, errands, and anything else that...
Guided by a native Texan, Always Best Care ensures that exceptional service and care is provided to all family members. Caregivers are thoroughly screened, licensed, bonded and insured to provide the safest and highest...
Locally owned and operated, Synergy HomeCare of Northwest Houston has been awarded "Best of Home Care" for its expertise in providing quality Home Care services. Synergy HomeCare is dedicated to providing exceptional and...
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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.