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:
Concierge Care in the Comfort of Your Home We are committed to delivering unparalleled home care services to the senior community throughout Virginia. Located in the heart of Virginia Beach, our mission is to Bring Joy...
When you rely on Visiting Angels to provide home care services for your family, you expect your loved one’s needs will be met. The expertise of our elder care providers makes it possible for us to provide a wide range of...
Here at Senior Helpers – Virginia Beach, we are a Veteran owned and operated home health care franchise located in Virginia Beach. We provide high quality personal and companion care to individuals in the comfort of their...
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...
At Lyfetyme Home Care, we prioritize your well-being and comfort in your home, the place where you have experienced a Lyfetyme of great memories and milestones. Our team is dedicated to delivering professional and...
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...
Deloris Home Health in Virginia Beach, Virginia provides comprehensive home health care services to residents in the area. Their offerings include skilled nursing care, physical therapy, occupational therapy, speech...
At Ease Home Care is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cozy Home Care of Virginia is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A & C Alternative Care is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
K&K Home Health Cares 4 You, Inc. is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hope IN-Home Care Inc is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Changing Tides Home Care is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hope, Care & Love Home Healthcare Services, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
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.
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Home Helpers is a trusted provider of compassionate in home care in over 600 communities across America. We give peace of mind to the families we help by tailoring our in home care services to each situation, and offering...
At Interim HealthCare, our primary goal is simple. We are dedicated to Improving People's Lives In the Community We Love. As a matter of fact, it’s our mission statement! Proudly operating from five offices serving...
Best & Dependable Hhc is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GreenLight HomeCare Services, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beyond Believers LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Loving Touch Home Care, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring 4 You is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Taste Of The Kingdom LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARING 4 YOURS 2 LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Morningside Home Healthcare, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jewish Family Service of Tidewater is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Labor of Love Total Healthcare is a Service Disabled, Veteran Owned Small Business (SDVOSB), Small, Women and Minority (SWaM) certified company, established in Virginia in 2006. At Labor of Love we provide more than...
Atlantic provides a wide range of homecare services including non-medical companion and personal care, as well as, both pediatric and adult private duty nursing. Our professionals partner with our clients and their...
OUR MISSION: MED Staffing is committed to providing dedicated and compassionate professional care. Our Care plans are personalized to meet the specific needs of very individual who requires personal care and/or...
CM Health Solutions is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nothing is more important than helping people to live full, independent and dignified lives within the comfort of their own home. A Caring Hart is dedicated to providing the kind of non-medical in-home care that helps...
our mission is simple yet profound: to provide dependable support and caring service in a family atmosphere. We believe that every individual deserves to age with dignity and independence within the familiar embrace of home.
At Care with Empathy LLC, we're more than just a home care company- we're your trusted partner in providing compassionate, personalized care. With a dedicated team of experienced caregivers. We understand that each...
Above Best Care LLC provides exceptional in-home care services tailored to meet the unique needs of seniors and individuals requiring assistance. Our compassionate caregivers prioritize comfort, safety, and independence,...
Arcadia Health care provides Private Duty Health Care Workers in Virginia Beach, Norfolk, and Chesapeake areas. Arcadia is licensed, bonded, insured, and all workers have at least one year of experience. Complete...
Caring for Your Homecare Services, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Clean Hands Pure Hearts, LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Home Health Services LLC is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At M & D Healthcare, we understand the unique challenges that come with aging and the importance of tailored support to maintain independence and dignity. With years of experience and a compassionate approach, our team is...
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...
Our vision is to become the leading provider of home care services in Virginia, recognized for our commitment to excellence, compassion, and innovation in care. We aim to empower individuals to age in place with dignity...
Heartland Home Health&hospice is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Hlth Serv VA Beach is a home care provider that services in Virginia Beach, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
At FirstLight, we understand your loved one deserves more than having someone who simply keeps them company. They deserve a caregiver who is passionate about helping them have their best day, every day. That’s why we do...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
We’re Proactive To Meet Your Needs Your family won’t get lost in the shuffle with us. Some agencies simply react to calls from clients rather than anticipating your needs in advance. We begin by reviewing your needs...
Changing Tides Home Care supports your loved one’s independence and well-being. We work closely with you to develop an individualized care plan, and to match you with caregivers who are well suited to your loved one’s...
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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.