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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 Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
At Nana Cares, LLC, we wholeheartedly commit ourselves to enriching the lives of our clients through compassionate and personalized in-home care services. Our mission is not just about providing care; it's about nurturing...
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Caring for a loved one is a labor of love, but you don’t have to go through it on your own. We accept a variety of payment types and insurance coverage including Medicare, Medicaid, Private Pay, Private Health,...
At Divine Care Solutions LLC, we are dedicated to providing compassionate, personalized home care services that promote dignity, independence, and peace of mind. Whether you or your loved one need assistance with daily...
At Loving Touch LLC, we are committed to enhancing the quality of life for our clients by providing compassionate and personalized care. Our services are designed to support daily living, promote independence, and ensure...
Established in 2021, MAGNIFICENT HOMECARE LLC pays homage to the owner’s late sister, who courageously battled SMA and required constant in-home care. Her enduring journey profoundly inspired the core mission of our...
At One Trusted Homecare we are dedicated to providing exceptional care and support to individuals and families in the comfort of their own homes. Our compassionate and experienced team of caregivers is committed to...
We are driven by one ultimate goal and that is to serve the people in our community by providing them with dependable home care in Indianapolis, IN, that allows them to minimize or avoid hospital, rehab, or nursing home...
Attendant care provided by a personal care agency refers to non-medical, hands-on assistance with daily living activities for individuals who need help due to age, disability, or illness. This type of care is designed to...
At CareFirst Home, we believe compassionate care starts at home. Our dedicated team provides personalized, in-home support that helps seniors and individuals with special needs live safely, comfortably, and independently.
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
At Precise Home Care Agency, we believe care should be personal. Our skilled and compassionate team provides reliable in-home support—from help with daily routines to companionship and specialized care—empowering clients...
OHS HOME CARE LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
REQUEST PERSONAL HOME CARE LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Moonlight Homecare Services provides personalized in-home care for seniors and individuals requiring assistance. Our compassionate caregivers support daily activities, promote independence, and enhance quality of life,...
A Lending Hand Home Care is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HEART OF ANGELS LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At TMC Homecare, LLC, our mission is to deliver exceptional, compassionate homecare services that promote the health, independence, and dignity of our clients.
A Generation Of Joy Home Care, Compassionate In-Home Care Services At A Generation Of Joy Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
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KD ESSENTIAL HOME CARE LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Invigorated Homecare LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
**PNA Nurturing Care Service LLC** in Brownsburg, IN, provides non-medical home care services, offering personalized assistance with daily living activities and companionship to seniors and individuals with disabilities....
Forever Golden Homecare LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SHALOM CARE LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LIFE CHANGES IN HOME SENIOR CARE & TRANSPORT, LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
4SEASONS HOME CARE LLC is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Recovering from home after surgery can limit you with your daily activities. Whether you are recovering from major surgery childbirth or in needed of Personal care Let Corinthians assist you to a healthy and complete...
TopCare Home Care is dedicated to providing compassionate and personalized in-home care services that support individuals in maintaining their independence and quality of life in the comfort of their own homes. With a...
Age in Place Home Care of Brownsburg, IN is a home care provider that services in Brownsburg, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Indianapolis helps families navigate the full continuum of senior care. Our in-home aides allow seniors to receive the day-to-day help with personal care they need and assistance with activities of daily...
Our mission at Yay Bella Homecare Agency is to provide exceptional non-medical in-home care services that promote independence, dignity, and quality of life for our clients. We are dedicated to delivering compassionate...
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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.