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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:
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
At Safe Place Home Care, we believe everyone deserves to feel secure, comfortable, and cared for in their own home. Our team of compassionate professionals provides personalized, high-quality support services tailored to...
Azalea Home Care provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, ensuring comfort, safety, and independence while enhancing the quality of life for seniors...
Charlotte Web Private Home Care, LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At CareFinders, we seek to improve the lives of our members and caregivers by offering seamless in-home care that allows our members to age in place and gives peace of mind to families.
North Georgia’s premier home health company, where we specialize in personalized care solutions for individuals in need. Our dedicated team views themselves as an extended support system for clients and their families,...
At ComfortAide, we believe everyone deserves to feel safe, supported, and independent at home. Our experienced caregivers deliver personalized care services with compassion and professionalism, helping each client enjoy a...
Edgewater Medical provides compassionate, high-quality healthcare and in-home support services for seniors and individuals with disabilities. Our dedicated team assists with daily living, medical care, and companionship,...
American Healthcare & Family Services, LLC is a compassionate Private Duty In-Home Care Agency. We put our reputation on the line to provide uniquely client-centric Home Care by striving to ensure a better quality of life...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
At Nurse Next Door, we understand the importance of providing top-tier care for your loved ones. That's why our home care services in Henry, GA are overseen by experienced nurse practitioner, ensuring the highest level of...
Committed Angels Home Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our devoted caregivers assist with daily tasks, personal care, and companionship,...
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 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...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
Cindy's Elderly Care LLC - Alpharetta is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Homecare At Home LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Home Care Caring for Angels Home Care LLC will provide Personal Care services to individuals in their own homes and communities, who need assistance with their activities of daily living as a result of old age,...
HEARTBOUND HOME CARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Alpharetta, GA is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Choice Healthcare is a licensed private homecare provider offering companion sitter, personal care support and nursing services to medically fragile and elderly individuals throughout Georgia.
Castleton Home Care offers exceptional in-home care services for seniors and individuals with disabilities. Our professional caregivers provide support with daily activities, medical needs, and companionship, ensuring a...
Judy`s Private Home Care is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Guardian Angels Home Care provide health care services in a private home, assisted living facility, or adult family care home. Nursing visits Give medications or help the patient give themselves medications Physical,...
Opulent Angels LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CarePoint Home Care is an Alpharetta based agency proudly serving residents within the metro Atlanta area. We provide non-medical private duty home care services specializing in companion and hands-on personal care...
Judy's Private Home Care LLP is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Well Care Agency helps you or your loved ones to continue to enjoy a great quality of life at home. Our caregivers are hired based on their professionalism, enthusiasm, and compassion for seniors. We also make sure...
Trusted Home Care Agency LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AFFINITY CARES HOMECARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Trinity Quality Homecare is your family's trusted companion and leader in providing superior care and services for seniors, the disabled, and other individuals in need in the Atlanta Metro area. We are owned and operated...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
Tender Loving Care Staff Builders Home Health is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a private home care agency, supplying a full range of in home care services (personal care, respite care and companion care) to the senior and elder community of greater Atlanta. We offer these services both in...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
It’s important what we do. It’s more important who we are. At Exclusive In Home Care we strive to provide a higher standard of home care with loving, compassionate trained individuals who truly care about family loved...
Bathing, Grooming and Personal Hygiene Assistance Skin and Nail Care Companionship Light Housekeeping Meal Preparation Medication Reminder Mobility Assistance Dedicated Attention and General Supervision of...
When seeking a care service for seniors, those with disabilities, illness or recovering from injury or surgery, there are many factors to consider. You undoubtedly have many concerns and reservations. This is perfectly...
A One Home Care is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
MainSpring Home Care is committed to providing high-quality, affordable, and compassionate Private Home Care Services that meet the needs of our clients and their loved ones in the comfort of their own homes.
Home Helpers of Alpharetta can make your life easier by providing personalized home care for you or a loved one. We provide customized home care for seniors, new & expectant moms and anyone in need of recuperative care...
Let Home Helpers of Alpharetta (Serving Cumming) Create a Customized Home Care Plan to Fit Your Lifestyle! Live life your way in the comfort of home with Home Helpers of Alpharetta. Whether you’re a family caregiver...
At Sarah's Angels In Home Care, we pride ourselves in delivering top-notch quality care for your loved ones. Each of Sarah’s Angels are driven by personal journeys traveling down the path of caring for others. Our mission...
At Regency Home Care of North Atlanta, there is no higher priority than the health and safety of our clients. When a loved one requires extra care and assistance, turn to Regency’s certified expert care staff, because...
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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.