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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:
We’ve been there, and we get it—caregiving is tough, whether you’re giving or receiving. That’s why at Home Instead®, we prioritize real, meaningful relationships. We support those providing care, honor the dignity of...
Carmeli Care Concierge Inc. is a trusted home care provider dedicated to helping seniors maintain independence and quality of life in the comfort of their own homes. We offer personalized care solutions, including...
At Ephesians Home Care LLC, we help seniors and older adults with non-medical activities of daily living including meal preparation, assistance with bathing, dressing, toileting, light housekeeping, medication reminders,...
SYNERGY Homecare is an affordable, compassionate, and respected home care choice for families who want to keep their loved ones at home rather than in a nursing home or assisted living facility. With over 90-years of...
We’ve been there, and we get it—caregiving is tough, whether you’re giving or receiving. That’s why at Home Instead®, we prioritize real, meaningful relationships. We support those providing care, honor the dignity of...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Mai Home Health Group LLC is a licensed home care agency based in Minnesota, offering comprehensive in-home health services to individuals who require assistance with daily living and medical needs.
Advocate Health Care Services is a reliable, patient-centered home health care agency with a high-standard approach to care. We are more than caregivers—we are companions, advocates, and trusted members of your extended...
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...
As loved ones age or face health challenges, some of life's everyday activities can become a bit more challenging. You can relieve the stress of everyday tasks by asking for help from professional in-home care services....
Cornerstone Caregiving is a senior home care provider in North St Paul that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required. Our...
SYNERGY HomeCare of Eagan provides clients with a wide variety of non-medical care options, from companion care and personal care to specialized care for people with chronic health conditions or recovering from illness or...
Personal Care focuses on hands-on assistance with daily tasks like bathing, dressing, and eating, while Companion Care emphasizes social interaction, emotional support, and light household tasks.
To ensure an individualized need-based support/health care service, for all people with disability & the elderly, that aim at a healthy, fulfilling, independent, and dignified life as they remain connected to their community.
We wanted to create a company that is capable of serving senior clients’ needs by assisting clients as their care needs transition. We do this by expanding the service platform to include everything that seniors might...
Vital Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and companionship,...
Inhom Senior Care, located in Burnsville, MN, provides personalized non-medical home care services to seniors, ensuring comfort, safety, and independence in their own homes. Their compassionate caregivers offer assistance...
Amazing Care Agency LLC is a home care provider that services in St Paul, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At FirstLight Home Care of Saint Paul, 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...
Senior Helpers of Stillwater, MN is a home care provider that services in St Paul, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide a variety of needed in-home senior care services, like general companionship, light housekeeping, cooking, shopping, transportation to / from appointments or events, medication reminders, fall prevention...
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...
Welcome to SYNERGY HomeCare of Minneapolis: Up to 24-hour home care. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting,...
Why Choose SYNERGY HomeCare? Living independently without the need for help feels good. But, what happens when you need just a little bit of help at home to stay safe and healthy? Sometimes it’s not so easy to ask or it...
We’ve been there, and we get it—caregiving is tough, whether you’re giving or receiving. That’s why at Home Instead®, we prioritize real, meaningful relationships. We support those providing care, honor the dignity of...
Our trusted St. Paul staff can’t wait to meet your loved one. We want to know how many times they’ve eaten at Mickey’s Diner, if they enjoy walks at Rice Park, or if they would prefer to watch a movie at home every...
Our mission is to provide superior care to those we serve. We strive to help our clients and their families maintain a physically and mentally stimulating and gratifying lifestyle while maintaining their dignity and...
Wisdom Match is a home care provider that services in St Paul, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Minneapolis - St. Paul and Surrounding Areas is a home care provider that services the North Metro Area in the Twin Cities. Our office is owned and operated by Paul and Laurie Barthol, with 15+ years of...
Senior Helpers Burnsville is committed to a customized plan of senior care for your aging loved one. Supervised by Kristie Beaudet, RN, our caregivers provide quality care and personal assistance with a long history of...
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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.