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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:
Hands That Touch Home Health extends beyond skilled nursing services; we bring a nurturing touch and a reassuring presence that facilitates an optimal recovery journey. Our deeply personalized approach enables us to...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Capital City Nurses - Columbia is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place At Home is a company that focuses on providing personalized, compassionate care for seniors, offering services such as in-home care, assisted living, and memory care. With a mission to help older adults live...
At Direct Home Nurturing LLC, you are our number one priority. We want you to focus on living life the fullest and achieving independence in the comfort of home with the services that we have prepared for you. Together...
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
Trustworthy Staffing Solutions is a Residential Service Care Agency established and designed to provide quality, cost effective in-home nursing and personal care for the adult and pediatric medically impaired.
Senior care services from Home Instead® help to enhance the aging experience by providing practical support at home with a human touch. Our professional caregivers immerse themselves into wherever home is to assist with...
At Mon's Homecare, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each client...
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...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
2nd Family - Eldersburg is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apex Home Health Services, LLC DBA Home Support of Maryland is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Chika Divine Care is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heartfelt Homecare Services, Compassionate In-Home Care Services At Heartfelt Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Holy Rain Inc. is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unconditional Love & Care LLC is a healthcare staffing and assisted living referral agency located in Windsor Mill dedicated to handing you the perfect candidates for you. Finding your loved one a exceptional home, hiring...
Visions of Light is one of the most trusted and dependable residential servicing agencies in the greater Baltimore area and surrounding counties in Maryland
Mission- Our mission is to provide quality, compassionate and efficient care to individuals in their homes. Our services are specialized to meet the needs of each individual, and to make their care experience outstanding.
Visiting Nurse Association of MD is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heartfelt Homecare Services, Compassionate In-Home Care Services At Heartfelt Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Distinctive Healthcare Services Inc provides high-quality, compassionate home and community-based care tailored to meet the unique needs of each client. Our dedicated team focuses on enhancing well-being, promoting...
Flourish Health Care Solutions, LLC is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a highly skilled, trained and motivated group of professionals dedicated to delivering high quality care at very competitive costs. We bring extensive years of experience in caregiving and management for seniors...
Care from the Heart Inc. is a compassionate and dedicated provider of home care services, focused on delivering high-quality, personalized care to individuals in the comfort of their homes.
Sherwitz In Home Care is a local agency that was built on integrity, love, kindness, and compassion. We are dedicated to being involved in the care of your loved one and fully committed to improve the lives of our...
Divine Health Inc. is a premier non-medical in-home care agency located in Windsor Mill, MD. We specialize in providing high-quality, compassionate support for seniors and individuals who require assistance with daily...
Bolyem Health Care, based in Windsor Mill, Maryland, extends its renowned healthcare services beyond the confines of traditional medical facilities, offering comprehensive home care services to individuals in need. With a...
Our mission is to support individuals with developmental and intellectual disabilities to live enviable lives through advocacy from friends and family and to promote person-centered planning through supporting choice and...
At Perfection Plus Home Health Care, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring...
Heartfelt Homecare Services, Compassionate In-Home Care Services At Heartfelt Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
Thorough Care L.L.C. is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission is to provide services of the highest quality for people with cognitive and developmental disabilities and related disorders including autism that optimize each individual’s independence and capabilities,...
Loving Arms Assisted Living, LLC is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Home Care LLC is a private, woman owned licensed OHCQ residential services agency headquartered in the State of Maryland. Our team brings over 30 years of leadership experience in public health,...
Mercylodge Healthcare LLC is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our vision is to be the trusted leader in home care services, recognized for our unwavering commitment to excellence, compassion, and innovation. We strive to create a future where every individual can age with dignity,...
Just4just, Llc is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
West Pointe Healthcare LLC is a home care provider that services in Windsor Mill, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Evercare Home Services, we believe that every day at home should feel supported and safe. Our experienced caregivers provide personalized assistance—from personal care to companionship and specialized care—empowering...
Help at Home Services’ mission is to provide superior service through the same care, concern and compassion that we give our own families. With our 15 years of experience as a Residential Service Agency, licensed by the...
Complete Home Care was established in order to assist you or your loved one overcome any burden. As a local Residential Services Agency, we pride ourselves on offering the most comprehensive home care services.
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...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
We are a family-based residential service agency providing safe, respectful, and dignified non-medical home health care to veterans and adults of all ages throughout Baltimore, Carroll, and Howard counties.
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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.