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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:
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At Healthcare STAT home care our main focus is providing the highest level of quality care while we offer the best value to our clients. Healthcare STAT Homecare is special because we are compassionate, professional,...
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Companionship is key to a trusted relationship with our caregivers. We are committed to providing high quality, client-centered and affordable Home Care services to our clients to assist them to lead dignified and...
Premium Home Care Services provides high-quality, non-medical in-home support designed to help seniors and adults maintain independence, comfort, and safety at home. Our caregivers offer personalized assistance with...
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Amada Senior Care of Bucks and Montgomery County, PA is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
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The entire professional care team at Amada Senior Care Philadelphia West Suburbs understands the importance of quality senior care that helps aging adults thrive and live safely and independently. Choosing the right home...
A Ray of Sunshine is a Private Home Care Agency. We designed a well-rounded program that encourage Participants and their loved ones to live independently. Committed to standing out from the rest, our home care services...
Allegiant Home Healthcare is a family owned and operated non-medical home care company. We have a combined 35 years of experience in the home and health care industry. Our experience, expertise and loyalty to the...
To be the leading provider of home care services, recognized for our commitment to excellence, innovation, and heartfelt care — empowering individuals to live safely, comfortably, and with dignity in the place they call home.
At Pennydynamic Care at Home, our mission is to provide compassionate, personalized, and high-quality in-home care services that enhance the well-being and independence of our clients. We are dedicated to delivering care...
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L&R Home Care Agency, LLC is a trusted provider of personalized in-home care services dedicated to helping individuals remain safe, comfortable, and independent in the place they call home. We offer a compassionate range...
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At HomeCaire, our mission is to make sure you receive the personalized care you need, in the way that feels right for you. We see you as an individual with your own needs, goals, and preferences — and we’re here to...
Hearts of Gold Advanced Care LLC is a compassionate, client-centered care organization dedicated to enhancing the quality of life for individuals and families in need of dependable support. Built on a foundation of...
At HomeWell Care Services of Bensalem, we believe there’s no place more comforting—or more empowering—than your own home. That’s why our mission is to bring exceptional, dependable in-home care directly to you or your...
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At Always United Care LLC, we believe every person deserves to age with comfort, dignity, and love. Our caregivers go beyond routine support—building meaningful relationships and providing peace of mind for families....
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ETW Care Services, LLC is a compassionate home care agency dedicated to helping individuals maintain independence and comfort in their own homes. With personalized support and dependable caregivers, the agency provides...
Kadija Home Care LLC is a dedicated, client-centered home care agency committed to providing compassionate, high-quality non-medical support to seniors, individuals with disabilities, and those recovering from illness or...
Haven Homecare Inc. provides compassionate, dependable in-home care services that promote comfort, dignity, and independence. Their dedicated team delivers personalized support to seniors and individuals in need,...
Cornerstone Caregiving is a senior home care provider in Greater Philadelphia that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required....
Caring for older adults is our passion and specialty, serving older adults for over 20 years! NursePartners is founded, owned, and operated by Angela Geiger, Registered Nurse and Certified Dementia Practitioner. We...
Elders Choice of PA is a provider of non-medical home support services in Southampton, PA. Our company was built around the idea that, ultimately, what makes a quality life possible is our clients' sense of...
Our caregivers and aides provide help with activities, light housekeeping, medication reminders, and companionship to help seniors, elderly, or physically challenged adults function independently in their own homes . Our...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
Our mission is to deliver compassionate, reliable, and high-quality care that empowers individuals to live safely and comfortably at home. We aim to build lasting relationships based on trust, respect, and genuine care.
At Graceful Hearts Services, we believe that everyone deserves to age with dignity, independence, and love. We proudly serve the greater Philadelphia and surrounding areas with personalized in-home care rooted in...
Cornerstone Caregiving is a senior home care provider in Central Philadelphia that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required....
Elder Home Care - Philadelphia, PA is a home care provider that services in Philadelphia, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Neighborly Home Care provides a comprehensive range of personal care services to assist seniors or anyone who needs help with activities of daily living, in their home or residence. We understand that maintaining your...
MMKOL Community Health Services is dedicated to delivering compassionate, non-medical home care that supports independence, safety, and quality of life.
Formosity Support Services, LLC is a non-medical home health agency with over 10 years of experience providing compassionate and reliable care. They are dedicated to helping seniors and individuals with disabilities live...
Aanu Home Care is the provider of choice for the personal care of yourself and your loved ones. We provide in-home assistance to people who are injured, senior citizens or any adult who needs a helping hand with personal...
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...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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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.