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:
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
At Home Instead, our families live and work in Houston, so we're invested in our community on a very personal level. We offer friendly, responsive home care services right in your neighborhood. If you or a loved one could...
Our team approach, here at Noble Health, works at creating empowering environments to help our clients heal at home. We only hire caregivers that we would trust to care for our family. Our caregivers are stroke...
At Home Matters, we’ve made it our mission to provide high quality care for seniors that allow our clients to remain safe, comfortable, and independent at home. Our approach is unique, based on years of research in the...
Here at HomeWell Care Services, Stafford, we want to make sure that every person has the chance to either grow old with dignity and grace or heal and recuperate in the comfort of their own home by providing compassionate...
Beyond Expectations Private Care Services LLC provides compassionate, personalized non-medical home care to seniors and individuals in need of daily support. Our dedicated caregivers strive to enhance quality of life by...
At Griswold Home Care for Richmond & Rosenberg, serving the Fort Bend County area, we offer compassionate in-home care for those who want support to live where they love. We are an award-winning pioneer in the non-medical...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
They specialize in matching families directly with experienced, professional independent caregivers — rather than placing caregivers through a traditional agency model. This allows clients more control over hiring and...
St. Anthony Care Services is committed to providing compassionate, reliable, and personalized home care that supports individuals in living safely and comfortably in their own homes. Our trained caregivers offer...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
CareCo offers a variety of services to meet each individual client where they need care the most. Our services are designed to supplement family support and medical care, providing comprehensive care coverage to our clients.
Our in-home care services empower seniors to continue to live independent lives by taking care of day-to-day tasks that become more challenging as you age. As your health and personal requirements change, we’re here to...
We offer the best caregiving service in Houston. We offer a variety of physical, cognitive, and emotional support services to properly care for your loved ones and help them with daily activities so they can maintain...
Since its inception, Cardinal Senior Care has been rapidly growing. Our Cardinal Senior Care management team brings to the company a diverse set of backgrounds with over 40 years of experience in service, hospitality,...
Angels Over Us is owned and operated by Lani Cabral, an experienced Senior Care Nurse Specialist. Lani used her experience and expertise to build a seasoned team of home care professionals to deliver a broad range of...
I created Joy because I thought health care at home could be better and should be pushing innovation forward. I believe you should age on your own terms, and for most, that is your home. What makes Joy different is that I...
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...
Nurse Next Door is a senior home care service with heart. Our kind caregivers make lives better for clients where they’re the most comfortable: at home. With 24/7 availability, total flexibility and everything managed for...
Touching Hearts at Home offers an array of home care services for seniors, people living with medical conditions or disabilities, those in transition from hospital to home, and anyone over the age of 18 who can benefit...
The “We are CARE” philosophy is a commitment to our core values of being Compassionate, Accountable, Respectful, and Ethical. These values are incorporated into every interaction A Place At Home has with the families we...
At Shepherd’s Touch Home Care LLC, we believe compassionate care feels like a guiding hand. Our caring caregivers provide warm, individualized assistance—from daily living support to soothing companionship and...
At Compass Health Services, we believe care should always point you in the right direction. Our caring team provides tailored in-home assistance—from daily living support to companionship and specialized care—empowering...
McCarron Home Care provides personalized and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and offer warm...
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
Divine Gentle Care is all about offering advanced and effective health care solutions to people living within Houston.PERSONAL CARE Our personal care services are designed to assist individuals with their daily...
At Devine Hands Care Inc, our mission is to serve with compassion, dignity, and excellence. We believe that every individual deserves care that uplifts the spirit, supports independence, and brings peace of mind to...
Appointed Time Health Care delivers timely, compassionate in-home support that helps clients stay safe, comfortable, and independent. Their caregivers provide reliable daily assistance tailored to each person’s...
Azaria's Home Assistant Agency is committed to providing compassionate, trained caregivers who deliver individualized care plans in Houston, enhancing comfort and independence for our clients in need.
One You Love Homecare of North, South, and West Houston proudly serves the seniors across Houston, including Sugar Land, Missouri City, Katy, Richmond, Fulshear, Cypress, Spring, The Woodlands, Fresno, Pearland,...
A Hug Away Healthcare, Inc. is not just a brick-and-mortar company; we are one of the best Female Owned healthcare agencies in Katy and Houston (Texas), with a comprehensive team of professional experts with over 35 years...
At Home Instead we have come together as a group of dedicated professionals to deliver an exceptional home care solution that meets your needs. Our trained, screened and bonded CAREGivers serve your family's senior loved...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
Anis Healthcare Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Innovision Home Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ccc Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Let’s Meet! With First Royalty Home Care, you’ll get the combined experience of people who’ve been serving seniors in the Houston area for over 50 years. We will care for you and your loved ones like we would our own family.
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...
Healthpoint Home Health and Infusion Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether for temporary purposes or permanent needs, the care of loved ones is the top priority. If you’re struggling to find the best fit for someone in your family that could benefit from home care, you’re not alone. And...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
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...
Sweet In-Home Care is a locally operated small female owned non-medical in-home private duty care service with specialized personal care plans for seniors, expectant/new mom(s), disabled, and anyone in in recuperative or...
Bright Autumn Home Care stands at the heart of service, with a special focus on compassionate, tailored support for our seniors. We give seniors the opportunity to live life on their own terms, aging with dignity, grace,...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
CareWorks is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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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.