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.
✔
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:
Established in 2011, within Montgomery County the coveted zip codes of 20854, and 20859. Our facilities are centrally located within minutes from Washington DC, Bethesda MD, and Rockville MD. Providing easy access from...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
Companion care services are of the utmost importance to the physical and mental health and wellness of your aging loved one. In the later stages of life it can be more difficult to make the social connections that add...
Capital City Nurses CHC- Local/DC is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tamela Fletcher opened the Senior Helpers Fairfax office to provide high-quality personalized senior care in the Fairfax and surrounding communities. Tamela recognizes the positive impact that Senior Helpers has on the...
We know from first-hand experience with our parents, in-laws and children, how stressful both caregiving to those that need it, and picking a quality home care provider, can be. We are here to help with the worry, fear...
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...
Options for Senior America - Gaithersburg, MD is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Rockville is committed to delivering the best possible in-home care to seniors in Montgomery County. Our top notch caregivers have a passion to serve you or your loved by providing companionship and...
Cherry Blossom Home Care Agency, was founded with the desire to provide the highest quality senior home care, elderly, mentally challenged and physically challenged adults by promoting and supporting an individual's...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Impeccable Advantage is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
Ideal Nursing Services, Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare of Washington, D.C. is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a team of committed, and experienced personnel. We pride ourselves with the excellent and diversified team that we have. And believe that our different backgrounds and experiences help us understand the need...
Caring for elderly parents or loved ones is often a challenge for family caregivers. As loved ones age or cope with a life condition, many seemingly simple daily activities become significantly more difficult. New Hope...
Philia Home Care - Maryland is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Asap Services Corporation is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capitol View Home Health Care Agency is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide comprehensive, high quality, multi-disciplinary and compassionate care to the acutely or chronically ill client in the comfort of their own home.
Linac Services Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide supervised personal care services such as bathing, grooming, house cleaning, meal preparation, accompaniment to medical appointments, and companion services.
Berhan Home Health Care Agency Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tri-State Home Health is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Smithlife Home Care of DC is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital Care Home Health Agcy is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aba Home Health Care, Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Daystar Home Care is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premium Select Home Care, Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Family and Friends Homecare LLC, In-home aide service to ensure your comfort and health. We send well-trained home care aides to the homes of our clients. They assist with daily living to provide comfort, convenience,...
Prestige Healthcare Resources provides personalized in-home care services to seniors at their own home or various settings; including hospitals, assisted living, independent living facilities, or where ever the individual...
Through the help of our compassionate and committed care professional, paired with our core values, we can offer an optimal helping hand for seniors’ home care needs. We are here to serve and extend our caring hands for...
Medstar Health VNA is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
T & N Nursing Care LLC is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accredited Health Care Services LLC - DC is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nursing Unlimited Services Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We believe that you can achieve significant results when you are recovering in the comforts of your own homes. Private duty nurses can provide quality assistance in process of recovery due to an illness or an injury. They...
Speqtrum Home Healthcare Services is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Care Nursing Services of DC is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Americare In Home Nursing is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kbc Nursing Agency & Home Health Care Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
JD Nursing and Management Services, Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Senior Care is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tender Loving Care is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Omega Nursing Services (ONS) specializes in providing quality home care assistance to the Washington DC, Metropolitan Area. With over 10 years of experience in exceptional patient care, Omega Nursing Services' founder has...
Human Touch Home Health Care Agency, Inc is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kennedy Care is a home care provider that services in Washington, DC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a certified care provider in Washington, DC, offering personalized, compassionate support through a team of experienced and diverse professionals. With a strong focus on safety, engagement, and attention to detail,...
Compare Home Care Agency Costs & Services
×
Success!
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.