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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:
From short-term assistance after a hospital stay to long-term help with everyday tasks, and from highly specialized medical care to daily companionship, we’re here to help provide the individualized care your loved one...
Caring Hands Agency is a home care provider based in New Jersey, dedicated to assisting individuals in maintaining independence and enhancing their quality of life within the comfort of their own homes.
Our goal is to promote independence for our clients by providing compassionate care in the comfort of their homes. patient Often individuals require assistance with one or more of their activities of daily living such...
To provide compassionate and exceptional home care services that empower individuals to live with dignity and independence. We are committed to delivering high-quality, personalized care tailored to the unique needs of...
Care With Passion LLC is a home care provider that services Clifton, NJ 07013. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other...
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...
Some services we offer: Companionship Homemaking Personal Care Respite Care Hourly Care Live-in Care Nursing Assessment & Visits Essential Transportation & Transition Care Concierge
We Provide Professional Assistance With: Bathing, Dressing, Personal Hygiene Companionship Incontinence Care, Toileting Bed/Wheelchair Transfers Light Housekeeping and Laundry Respite Care Medication...
Health Crest Homecare is a national provider of quality home health care services in the New Jersey area. We offer supreme quality of care for all individuals searching for the highest of quality home health care...
HOME HEALTH CARE EDITION LLC DBA CARE EDITION, based in Wayne, NJ, provides compassionate and professional home health care services. Their mission is to enhance the quality of life for individuals by offering...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Comforcare Home Care (Passaic-Bergen, NJ) is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Emerald Health Care Services is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care - Wayne, NJ is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CritCare Helping Hands Is a fully licensed Home Health Services Firm. CritiCare Helping Hands Provides service throughout the New York and New Jersey Metropolitan Area. CritiCare Helping Hands employs only Licensed...
TLC Tender Loving Care L.L.C is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Options Inc. is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Instead - Wayne, NJ is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Assistance specializes in high quality live-in and hourly caregiver services.We offer the best screened, best trained and most compassionate caregivers in the industry.
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...
At FirstLight Home Care of Morristown and Wayne, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help...
Our Rates & Service Areas in Passaic, Sussex, & Warren County, New Jersey We offer very competitive non-medical in-home care rates and a variety of services that are tailored to accommodate individual needs. The...
Our Professional Care Team, led by a Registered Nurse Director of Nursing, provides expert, compassionate, and personal in-home care. Our mission is to go above and beyond to deliver A Higher Standard of Care and nothing...
Owner Jamie Farina and her team are proud that the Senior Helpers Fairfield office is available to provide a full range of high-quality senior care services to those in need of a helping hand. Whether your loved one needs...
Agewell Homecare Agency LLC is a home care provider that services in Wayne, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.