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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
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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:
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 physically forward. From personal assistance and companionship to live-in and end-of-life comfort care, we provide the extra help needed to propel everyone safely and confidently to their fullest potential.
Complete Home Care is dedicated to providing compassionate, reliable, and personalized home care services that help individuals maintain their independence and dignity in the comfort of their own homes.
24-Hour Care For continuous, around-the-clock support, our caregivers ensure safety and companionship day and night. Hospital Recovery Care Post-hospital care that prevents readmissions and enhances recovery, providing continuous support whenever necessary.Companionship Cornerstone Caregiving is there to keep your loved one company and keep their spirits up.
Senior Helpers Spring Hill is owned and operated by Glen and Michelle Scharfeld. During his 20-year career as a law enforcement officer, Glen encountered many seniors in need of companionship and personal care services both within their homes and communities. The Scharfelds and their Spring Hill-based team provide high-quality in-home care to families throughout Hernando, Pinellas, Pasco and Citrus Counties.
When a loved one wants to remain at home but needs daily support, you deserve a dependable team that treats your family like its own. Rosemary Home Care LLC provides comprehensive home health care throughout Tampa and within a 40 to 60-mile radius. Our caregivers deliver respectful, attentive, around-the-clock assistance tailored to each client’s routines, preferences, and goals. From help with the morning wash to evening medication supervision, we focus on safety, dignity, and genuine companion
Preferred Care at Home of Land O’ Lakes has the privilege of assisting clients to improve their quality of life while still recognizing and maintaining their dignity and independence. We provide a variety of senior home care services so you can find what’s just right for you. We understand that long-term care can be costly, which is why we have focused on building a reputation of offering access to quality services at affordable prices.
At Avail Florida home care we know firsthand how challenging it can be to find a trustworthy and compassionate person to care for your loved one. It can be hard to accept help and hard to trust that someone will take care of your loved one the same way you do. At Avail Florida Home Care, our caregivers are special, they have a calling to caregiving, most have been working with our clients for many years and all of our caregivers are thoroughly vetted.
BHSS Home Health Agency provides skilled nursing and other services such as physical and speech therapy to patients in their homes. We provide care to seniors, disabled adults and patients recovering from post hospital stay. We assist with activities of daily living and personal care to help patients live as independently as possible.
Expedited Medical Solutions offers a complete range of long distance medical transportation services, coordinating every detail to alleviate stress for both you and your loved one during what can often be a difficult time. We also provide In Home Personal Care for patients and we understand that no two client needs are the same. That's why after receiving a friendly in-home assessment, a caregiver will be hand-picked to fit you and your specific needs.
Nurse Next Door is a premium home care company dedicated to redefining the senior care experience by focusing on both physical health and emotional well-being. Through our Happier Aging philosophy, Nurse Next Door empowers seniors to rediscover activities that bring them joy, purpose, and independence, all while staying in the comfort of their own homes.
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 of life for both seniors and their families in every caregiving experience.
Senior Helpers New Port Richey is owned and operated by Glen and Michelle Scharfeld. During his 20-year career as a law enforcement officer, Glen encountered many seniors in need of companionship and personal care services both within their homes and communities. The Scharfelds and their Spring Hill-based team provide high-quality in-home care to families throughout Hernando, Pinellas, Pasco and Citrus Counties.
Saad Yehia is the owner of Amada Senior Care North Tampa, where he and his team help older adults age safely and comfortably in the place they call home. His passion for senior care runs deep, not just professionally, but personally.
Elite Eldercare Solutions provides tailored in-home care services for seniors and individuals with disabilities. Our skilled caregivers offer support with daily tasks, medical needs, and companionship, ensuring a safe and dignified environment that enhances independence and improves overall quality of life.
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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.