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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.*
✔
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 Family First Home Care Agency, we are dedicated to providing exceptional non-medical home care services that prioritize the well-being and independence of our clients. Our compassionate caregivers are committed to...
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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...
The most qualified professionals in the health and wellness community. Our mission is to provide the most qualified, experienced and compassionate nurses and specialists to healthcare institutions, hospices, government...
Elder Care provides comprehensive home care services in New York, placing rigorously trained Aides in patients' homes under the supervision of experienced Geriatric Care Managers. Each patient receives weekly visits from...
There’s a reason why Unity Home Care LLC, is a leading provider of homecare in Farmington, Connecticut, and that’s simply because we truly care for you! Elderly, injured, ill, and the disabled—we make every high-quality...
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...
Senior Serenity Home Care, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their...
Efficient Aids Agency is a trusted Homemaker Companion Agency committed to providing compassionate and professional care to individuals who need assistance in their daily lives. Our experienced team offers a range of...
Anchored Care LLC is a compassionate home care service dedicated to providing personalized, high-quality care for seniors in the comfort of their own homes. Our trained caregivers offer assistance with daily activities,...
"The Home Care That's Designed Just For You" "At R&S Homecare Services LLC, we strive to enhance the quality of life for those we serve. Trust R&S Homecare Services LLC for dependable and cost-effective home care...
At Elite Trusted Care Services, our mission is to illuminate the lives of our clients by providing compassionate, high-quality, and dependable in-home care services. We are committed to enhancing the quality of life for...
Advanced Home Care Agency LLC is a dedicated home care provider committed to delivering high-quality, compassionate, and personalized care services to individuals in need.
At Absolute Best Home Care, our vision is to be a meaningful contributor to the communities we serve making a lasting impact in the lives of the seniors and giving back to the community.
There is no greater responsibility than entrusting someone with the care of a loved one. I know this firsthand because I lived it with my own family. It is my personal journey that led me to pursue a career with Senior...
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,...
The Cassagnol Agency, based in Connecticut, provides home health care, senior care, and financial planning services. They assist with daily activities like bathing, dressing, meal prep, and medical appointments, alongside...
Our Mission is to provide our clients with options, promote independence, embrace quality of life but more importantly provide a safe space for our seniors, veterans and people with disabilities to participate. With our...
Vn Hospice Care Of Southwest is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
At Companion Services Inc, we understand how crucial it is for you and your loved ones to continue living a pleasant and satisfying lifestyle at home. We are dedicated to making your life easier and more pleasurable with...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
We are a non-medical home care agency based in Norwalk, Connecticut. We are dedicated to providing the best quality home care for you or your loved ones. Whether you are an aging individual who is in need of a little more...
We offer independent living home care services built on four tenets: trust, skill, compassion, empathy. This holistic approach to the care needs of our clients strives to meet and exceed the needs of the whole person....
ComForCare Home Care - Stamford, CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to BAYADA Home Health Care. Every day, our expert team of BAYADA Nurses, Therapists, Home Health Aides, and Medical Social Workers provide quality care to people of every age and stage of life. We believe our...
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SYNERGY HomeCare of Stamford, CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Both Non medical and Medical services. Private pay and Medicare certified enabling us to provide the full range of services under one roof. Companion / homemaker services to seniors, those recovering from surgery, and...
Grace Home Care, LLC is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dawn to Dusk Home Health Care, Inc. offers a unique combination of premier home health care and community-based social services to Fairfield County, CT and the surrounding areas. Consumers of our services are those...
Tender Loving Care Health Care Services of Ne, LL is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care of Stamford, our local home care team is available to you and your family 24 hours a day, 7 days a week no matter what care you need. We pride ourselves on providing the highest quality of in-home care...
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Patient Care, Inc. has been providing home care services for more than twenty-five years. Our office is licensed as a Homemaker-Home Health Aide Agency by the State of Connecticut Department of Public Health. We are also...
At personalized Care at Home LLC, we are committed to helping our clients in the comfort of their home environment with personalized home care services that suit their needs and create a positive experience for our...
Grace Home Care LLC is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personalized Home Care Ltd of CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Approach to Concierge Home Care Founded by Cornell-trained, world-renowned experts in Geriatrics, Gerontology, and Hospitality, we believe that as we age, one size does not fit all when it comes to care. We...
Elder Care Homecare - Stamford is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Endurance Home Care is a non-medical Home Care Agency in Connecticut. Our mission is to improve the quality and duration of life for our clients while providing enriching opportunities for our Care Professionals. We...
Whether due to a temporary situation such as recovering from illness, injury or hospitalization or something longer-term such as the challenges of aging or a disability, including senior, elder or respite home care,...
Giving Hearts Home Care provides assistance with activities of daily living such as bathing, dressing, meal preparation, housekeeping, laundry, med reminders, ambulation, appointment transportation, and other tasks. Our...
Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients improve their quality of life while still recognizing and maintaining their dignity and independence. Preferred Care at Home...
Acti-Kare of Stamford is a home care provider that services Connecticut. Home care services allow seniors to remain safely in their own home while receiving assistance with personal care and other daily tasks.
At Family First Home Care Agency, we are dedicated to providing exceptional non-medical home care services that prioritize the well-being and independence of our clients. Our compassionate caregivers are committed to...
Greenwich HomeCare is a locally owned and operated non-medical home health care agency dedicated to providing the highest quality home health aides. We are a licensed, bonded, and insured agency serving Greenwich,...
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...
The most qualified professionals in the health and wellness community. Our mission is to provide the most qualified, experienced and compassionate nurses and specialists to healthcare institutions, hospices, government...
Elder Care provides comprehensive home care services in New York, placing rigorously trained Aides in patients' homes under the supervision of experienced Geriatric Care Managers. Each patient receives weekly visits from...
There’s a reason why Unity Home Care LLC, is a leading provider of homecare in Farmington, Connecticut, and that’s simply because we truly care for you! Elderly, injured, ill, and the disabled—we make every high-quality...
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...
Senior Serenity Home Care, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their...
Efficient Aids Agency is a trusted Homemaker Companion Agency committed to providing compassionate and professional care to individuals who need assistance in their daily lives. Our experienced team offers a range of...
Anchored Care LLC is a compassionate home care service dedicated to providing personalized, high-quality care for seniors in the comfort of their own homes. Our trained caregivers offer assistance with daily activities,...
"The Home Care That's Designed Just For You" "At R&S Homecare Services LLC, we strive to enhance the quality of life for those we serve. Trust R&S Homecare Services LLC for dependable and cost-effective home care...
At Elite Trusted Care Services, our mission is to illuminate the lives of our clients by providing compassionate, high-quality, and dependable in-home care services. We are committed to enhancing the quality of life for...
Advanced Home Care Agency LLC is a dedicated home care provider committed to delivering high-quality, compassionate, and personalized care services to individuals in need.
At Absolute Best Home Care, our vision is to be a meaningful contributor to the communities we serve making a lasting impact in the lives of the seniors and giving back to the community.
There is no greater responsibility than entrusting someone with the care of a loved one. I know this firsthand because I lived it with my own family. It is my personal journey that led me to pursue a career with Senior...
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,...
The Cassagnol Agency, based in Connecticut, provides home health care, senior care, and financial planning services. They assist with daily activities like bathing, dressing, meal prep, and medical appointments, alongside...
Our Mission is to provide our clients with options, promote independence, embrace quality of life but more importantly provide a safe space for our seniors, veterans and people with disabilities to participate. With our...
Vn Hospice Care Of Southwest is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
At Companion Services Inc, we understand how crucial it is for you and your loved ones to continue living a pleasant and satisfying lifestyle at home. We are dedicated to making your life easier and more pleasurable with...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
We are a non-medical home care agency based in Norwalk, Connecticut. We are dedicated to providing the best quality home care for you or your loved ones. Whether you are an aging individual who is in need of a little more...
We offer independent living home care services built on four tenets: trust, skill, compassion, empathy. This holistic approach to the care needs of our clients strives to meet and exceed the needs of the whole person....
ComForCare Home Care - Stamford, CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to BAYADA Home Health Care. Every day, our expert team of BAYADA Nurses, Therapists, Home Health Aides, and Medical Social Workers provide quality care to people of every age and stage of life. We believe our...
At NCHC, our Care Team is family centered and family focused. We recognize that the demands and responsibilities of busy life can be challenging and providing the desired level of supervision and attention to your loved...
SYNERGY HomeCare of Stamford, CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Both Non medical and Medical services. Private pay and Medicare certified enabling us to provide the full range of services under one roof. Companion / homemaker services to seniors, those recovering from surgery, and...
Grace Home Care, LLC is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dawn to Dusk Home Health Care, Inc. offers a unique combination of premier home health care and community-based social services to Fairfield County, CT and the surrounding areas. Consumers of our services are those...
Tender Loving Care Health Care Services of Ne, LL is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care of Stamford, our local home care team is available to you and your family 24 hours a day, 7 days a week no matter what care you need. We pride ourselves on providing the highest quality of in-home care...
OUR FOCUS: • Dependability of Service • Continuity of Caregivers • Peace of Mind for the Family • Quality of Life for the Client • Independent Living in the Home OUR SERVICES: • Companion Care - For our basic...
Patient Care, Inc. has been providing home care services for more than twenty-five years. Our office is licensed as a Homemaker-Home Health Aide Agency by the State of Connecticut Department of Public Health. We are also...
At personalized Care at Home LLC, we are committed to helping our clients in the comfort of their home environment with personalized home care services that suit their needs and create a positive experience for our...
Grace Home Care LLC is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personalized Home Care Ltd of CT is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Approach to Concierge Home Care Founded by Cornell-trained, world-renowned experts in Geriatrics, Gerontology, and Hospitality, we believe that as we age, one size does not fit all when it comes to care. We...
Elder Care Homecare - Stamford is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Stamford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Endurance Home Care is a non-medical Home Care Agency in Connecticut. Our mission is to improve the quality and duration of life for our clients while providing enriching opportunities for our Care Professionals. We...
Whether due to a temporary situation such as recovering from illness, injury or hospitalization or something longer-term such as the challenges of aging or a disability, including senior, elder or respite home care,...
Giving Hearts Home Care provides assistance with activities of daily living such as bathing, dressing, meal preparation, housekeeping, laundry, med reminders, ambulation, appointment transportation, and other tasks. Our...
Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients improve their quality of life while still recognizing and maintaining their dignity and independence. Preferred Care at Home...
Acti-Kare of Stamford is a home care provider that services Connecticut. Home care services allow seniors to remain safely in their own home while receiving assistance with personal care and other daily tasks.
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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.