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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:
Home Care Services in Your Area Better Home Care in Woburn, MA Whether it’s helping with chores, providing medication reminders, or meal assistance, ComForCare gives you the freedom to focus on spending quality time...
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...
HomeWell Care Services of MetroWest, MA is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Instead of Waltham is an independently owned office of the World's largest Senior Care Organization. Owned by local resident Christopher Jenkins, the Waltham office services the towns of Brookline, Newton,...
Quality Private Home Care Services is a trusted and compassionate home care agency dedicated to enhancing the lives of individuals in need of personalized assistance.
From nursing homes to in-home healthcare, we offer a comprehensive recruitment plan that truly bridges the gap between prospective professionals and agency or facility managers.
Impact Health Alliance is dedicated to improving community health through innovative, collaborative in-home care. We unite healthcare professionals to enhance access to quality care and promote wellness. Our mission is to...
At Homily Care Agency, we offer a wide range of health care services for disabled and elderly individuals in the comfort of their own homes. Our dedicated team ensures that our clients receive the best care and attention...
We are a recognized agency providing Home Health Care wherever a client lives in Eastern Massachusetts. We are also Alzheimer's specialists. The service can be a few hours or 24 hours. We offer Live-in, hourly,...
At it’s core, our in-home senior care service is about bringing warmth, friendship, and the highest quality of care right into the comfort of your home. More than just lending a hand, we’re here to share laughs,...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Woburn. Our trusted Woburn staff can’t wait to meet your loved one. We want to know how many times...
American HomeCare.CO stands out by offering: Personalized care plans tailored to each client’s needs. Trained and compassionate caregivers committed to quality service. Affordable pricing with flexible payment...
At Always Best Care of Greater Boston, we specialize in providing personalized, non-medical care for seniors who wish to remain in the comfort of their own homes. With a team of over 300 Certified Nursing Assistants, our...
Celebrating life, dignity and independence.® 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...
Robert and Daniel Appel, owners of Amada Senior Care Boston MetroWest, know from personal experience the difference quality care can make in the lives of seniors and their families. Says Robert, “Now, having seen how big...
Personalized and compassionate care in daily living As mobility and cognitive functions decline, additional assistance becomes crucial. Our personal care services encompass daily tasks to ensure your overall health, as...
At Home Vna is a home care provider that services in Waltham, MA. 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 providing assistance with all activities of daily living. Whether you need assistance with meals, personal care, transportation, medication management,...
Havenly Care Solutions is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
Our story begins, not surprisingly, at home. As the primary caregiver for her aging mother and father, our founder Andrea Cohen saw firsthand the difference that comfort, safety, and familiarity of home can make for older...
Partners Home Care, Inc is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to be unwavering in our commitment to providing compassionate care, and ensuring the well-being and satisfaction of every individual we serve while fostering an environment of trust, empathy, and excellence.
Happy At Home - Waltham, MA is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Senior Homecare & Staffing Inc. is dedicated to providing compassionate, high-quality care and staffing services to seniors, ensuring their well-being, dignity, and independence. Our mission is to enhance the...
Companions and More Nursing, Inc is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors of Greater Boston and Metrowest, focuses on the social and emotional benefits that come from connecting clients with caregivers in the same stage of life. These peer matches allow seniors to safely...
Indelible Home Care is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hattie’s Caring Hands is a highly recommended non-medical home care agency serving the greater Boston area, and surrounding suburbs with private in-home care. We provide personalized care plans to meet your requirements...
We support people to do the extraordinary everyday. Akirapa Home Care is a national provider of home care and staffing services with over 7 years of experience and dedication to enhancing quality of life for...
Happy At Home, LLC-Waltham, MA is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Receiving quality home care support during your golden years should never be difficult. And this is what we ensure at Home Touch Care, Inc, offering staffing of highly skilled and professional workers (care givers) to...
Epoch Home Care is a home care provider that services in Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Happy At Home LLC is a trusted and compassionate home care agency dedicated to enhancing the quality of life for individuals who wish to maintain their independence in the comfort of their own homes.
Our story begins, not surprisingly, at home. As the primary caregiver for her aging mother and father, our founder Andrea Cohen saw firsthand the difference that comfort, safety, and familiarity of home can make for older...
Tender Loving Care is a home care provider that services in Waltham, MA. 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 Waltham, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It is our vision to be the best support system that eases pain for families going through the challenges of caring for their declining loved ones. We also work to facilitate opportunities for compassionate caregivers...
The team of professionals who make up Gold Star Home Care Agency is led by Monica Nabuuma a public health care professional with 12 years of experience in public health and she has been tested on a number of challenging...
FirstLight Home Care of Boston Northwest provides private home care services that allow seniors and other adults to receive the support they deserve in a comfortable, familiar setting. To learn how a compassionate in-home...
Your Extended Family When Family Can’t Be There At Home Helpers Home Care, we’re here to do exactly what our name says: help. We’re more than an in-home health care agency – we’re your extended family when family can’t...
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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.