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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:
Hallmark Homecare of Prince William, Compassionate In-Home Care Services At Hallmark Homecare of Prince William, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort,...
BridgePoint Home Health is dedicated to delivering high-quality compassionate home health services to all of our clients. Our fundamental priority is to uphold the dignity and independence of each individual we serve,...
Abby’s Home Care Service in Virginia offers dependable, in-home support for individuals facing age-related challenges, health conditions, or disabilities. We help clients remain safe and comfortable in the place they know...
Senior Helpers of Stafford, VA is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abide Home Care LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission At GV&HV Home Care, our mission is to deliver compassionate, individualized care that empowers seniors and individuals with disabilities to maintain their independence while living comfortably at home. We are...
At Anderson Caregiving, our mission is to provide exceptional, compassionate in-home care that empowers individuals to live safely, comfortably, and independently in the place they call home. We are dedicated to enhancing...
Care with Dignity at Home, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Belle'S Compassionate Care LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bethel Healthcare Services, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alternative Living Residences LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Licensed in the state of Virginia, Kharis Care Partners is a home care agency with highly skilled professionals who are committed to providing quality care always. Our purpose is to give the finest care to our clients and...
First Ally Home Care, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifemate Home Healthcare, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
As a home care agency in Dumfries, Virginia, Live With A Purpose Home Care LLC’s lifelong duty to direct individuals to a path where they can lead better lives. We work closely with every client so we can help them cross...
Global Healthcare Agency, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Quality Care Makes All the Difference Contact us today to find out more about our home care services in the Northern Virginia area, or to schedule a free in-home assessment.
Enhanced Healthcare Services, LLC provides high-quality in-home care services. In-home care can be a great solution for individuals who need assistance with daily activities but wish to remain in the comfort of their own...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Bethesdacare–House of Mercy, LLC is a compassionate in-home care provider offering personalized, non-medical support to seniors and individuals with disabilities. Their trusted caregivers help with daily tasks, ensuring...
We believe every Senior deserves to age comfortably at home at an affordable cost. Unlimited Care 4 Home Health Care is a family owned, women owned, and minority owned Home Health Care agency originating in Stafford,...
Comfort Home Care Services has been a proud member of the local Stafford, Virginia community since 2010. We provide the most exceptional level of care to your loved ones by treating them as our own. We strive to enhance...
Godaelli Healthcare Services, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Absolute Home Healthcare focuses on delivering compassionate, client-centered care tailored to meet each individual's unique needs. Services include assistance with daily living activities, medication management, and...
Lloyds Homecare Services of Stafford VA is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BFG Enterprises is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Care Professionals LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Joyful Way Home Healthcare, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Beth-El Home Health Services LLC, your trusted partner for home health care in Virginia. On July 8, 2022, our company had its humble beginnings, and since then, we have been dedicated to redefining the...
1st RELIABLE CARE LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Let Home Helpers & Direct Link of Stafford, VA Create a Customized Home Care Plan to Fit Your Lifestyle! Live life your way in the comfort of home with Home Helpers of Stafford! Whether you’re a family caregiver or...
EveryCare Nursing Services, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Boari Residential Services LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trusted Hands Home Care, LLC, VA is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique Trust Healthcare brings together compassionate, dynamic, and sympathetic individuals to work in the service of aiding the injured, disabled, sick, and aged live regular lives. Each one of our staff has undergone a...
Americare Health, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
J WHYTE HOME CARE SERVICES has been providing home care services in Stafford, Virginia, to many individuals who need assistance in their daily activities at home for years now. We commit to serving our clients care that...
To deliver compassionate, dependable, and high-quality care to every resident we serve. We are committed to treating your loved ones with the same respect and dignity we would offer our own. Through personalized care,...
Aldrich Care Solutions, LLC is a home care provider that services in Stafford, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Our home care is customized for seniors based on their individual needs and preferences. We provide your loved ones with assistance to make it easier for them to complete activities of daily living. We assure you the...
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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.