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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:
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
Co-owners Faye and Sheila understand the importance of the in-home care services that Senior Helpers provides and is passionate about helping others. Senior Helpers Ann Arbor provides our clients, families and caregivers...
Our vision is to be the leading provider of compassionate and innovative home care services in Michigan, setting the standard for quality, integrity, and personalized care. We aspire to empower individuals to age...
Herewith, Inc. is a nationwide platform connecting families with experienced, background-checked caregivers for non-medical in-home care, including in Michigan. Their services encompass assistance with light housekeeping,...
Favor Home Care, Inc. is a team of care providers who have your best interest at heart. We want to maintain your choice to stay at home or age in place in the environment you choose. Even with old age or health issues,...
Elite Homecare Services, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Health One Homecare, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hope at Home Health Care - MI is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Mercy Home Health Care LLC provides personal care services such as hands-on assistance with activities of daily living (ADLs) services in the patient's home with the goal of enabling the patient to remain at...
Mariam Health Services has been in operation since 2000. This company’s longevity is indicative of consistency, stability, reliability, and experience in the field of home health care.
Professional Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rite Choice Home Health Care, L L C is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of professional and compassionate companions is dedicated to enhancing the quality of life for you and your loved ones. Schedule your complimentary home care assessment now and embark on a journey of exceptional...
Prompt Care Home Health Services, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Essence Private Duty is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arbor Woods Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Atlantis Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ESSENTIAL RELIABLE CARE LLC is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angelina Muscat LMSW, ACSW, C-ASWCM is a professional Geriatric Care Manager. She is an experienced social worker who specializes in assisting older adults and their families with elder care arangements. As a care...
Angels Care Of Michigan is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Delta Home Health Care, L L C is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sterling Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Touch Home Care is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advance Home Health Care Services, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare Of Wayne is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Friman Home Health Services is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kaizen Home Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primary Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lake City Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MOMENTUM CARE is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Merit Home Health Care, Inc is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Canton, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Machob Caring Hand Home Health Services provides individualized in-home senior care with a compassionate touch. Machob Caring Hand Home Health Services is a locally owned business dedicated to making the community a...
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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.