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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:
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
At Careco - The Caregiving Company, we are committed to providing high-quality non-medical in-home care services tailored to the individual needs of each client. Our mission is rooted in compassion, respect, and...
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 through compassionate support,...
Quality, trust and compassion are the foundations of Southern Crescent Care, LLC. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
Our services include assistance with daily living activities such as bathing, dressing, grooming, and mobility support. We also offer medication reminders, light housekeeping, meal preparation, and laundry services to...
Charlotte Web Private Home Care, LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome A little help could go a long way. We understand, and we are here to help with reliability, professionalism, and kindness. We send trained aides to the homes of our clients to provide support with activities of...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
LCH PHC is dedicated to helping you or your loved ones stay safe and independent in the comfort of familiar surroundings. Our in-home care services are tailored to support individuals facing a variety of health challenges...
Serenity Care and Compassion is Locally Operated, Licensed, Bonded, Insured, and have been providing compassionate care in Georgia For 15+ Years and are happy to provide services to older adults and children in need of...
BETTER LIFE PRIVATE CARE LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Generation Health Services, Inc. - Stockbridge, GA is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Our Agency’s Mission is to provide quality professional and paraprofessional care services to our clients in the comfort of their own homes. We aspire to assist them in achieving their highest potential in performing...
New Generation Home Care, Inc. is a full service home care agency serving Atlanta and the surrounding communities for over 3 years. WE BRING THE CARE TO YOUR HOME. We accept most major insurances and private pay. Our...
Through carefully-designed services, our team of caregivers assists older adults and children in everyday activities. Our aim is to make their day easier and fulfilling. Our mission is to provide support and excellent...
First Choice Community Care Solutions, LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Touch Home Care Services LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Infinite Care Services is a private home care provider with a distinctive quality of care serving the community since 2015. Through testimonials and referrals we have experience a tremendous growth. We are coming up...
CARESTAR HEALTHCARE SERVICES LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Utmost Healthcare Solutions LLC, our mission is to provide exceptional, patient-centered healthcare services that prioritize compassion, innovation, and excellence. We are dedicated to enhancing the well-being of...
COLEY RELIABLE CARE, LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hopefound Home Care is dedicated to providing compassionate, personalized in-home care that promotes independence and enhances quality of life. Our skilled and caring team offers a wide range of services, including...
Greater Zion Home care services is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
NURSE PRO STAFFING INC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
duplicate - Home Helpers Home Care of Stockbridge, GA is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
EXTENDED HEALTH SERVICES, INC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MARTIN'S MANOR, LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nuvision Healthcare Service is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GEORGIA GERIATRICS AND REHABILITATION, LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Nurse Next Door, we understand the importance of providing top-tier care for your loved ones. That's why our home care services in Henry, GA are overseen by experienced nurse practitioner, ensuring the highest level of...
K & K Healthcare Systems is a compassionate home care agency dedicated to providing personalized, high-quality care to seniors and individuals with special needs. Our experienced caregivers offer a range of services,...
Dignity Senior Care Services LLC is a home care provider that services in Stockbridge, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We aim to deliver quality, compassionate, one-on-one, dependable and cost effective home care services. We ensure families have peace of mind by delivering unmatched reliable care!
Amicasa Home Care, a metro-Atlanta In-Home Care Agency is Located in Hampton Georgia. We service these metro Atlanta counties: 1. Butts 2. Clayton 3. Dekalb 4. Fayette 5. Fulton 6. Henry 7. Spalding 8. Rockdale Set an...
HomeWell Senior Care provides hourly and 24/7 In-home care for seniors so that they may remain at home indefinitely with the highest level of compassion and always striving toward excellence in all that we do. For...
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
FirstLight Home Care delivers loving and compassionate care to seniors in Atlanta in the comfort of their own home. Our team's "Culture of Care" helps people age independently with confidence, dignity and happiness.
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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.