Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
Home & Hearth Caregivers is available 24/7 for you or your loved one. We serve Cook, DuPage, Kane, Kendall, Lake, McHenry and Will counties. Our experienced Care Plan Managers will be happy to provide a complimentary home...
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...
“COLLABORATION AND PARTNERSHIP EQUALS EXCELLENT CARE” Excellent Home Health Care, Inc (EHHCI) has been established for the sole purpose of providing individuals and their families with the best possible home health care...
Elara Caring - Chicago, IL is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace-Premier Home Care Services, Inc. offers compassionate and personalized in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
At Better Choice Home Health Inc., your trusted partner for compassionate, professional home health care services. Experience personalized care tailored to your needs, delivered with respect and dedication. Discover the...
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...
Has the time come to find care services for your loved one? While it's a difficult decision, it's an important one. You need to find someone trustworthy who can provide the necessary level of care for your loved one's...
Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Oak Park, extending into Chicago neighborhoods such as South Austin, West Garfield Park...
LSSI offers in home care to meet the changing needs of seniors. Services like home care extend the time that seniors can remain independent in their homes. By caring for seniors, LSSI alleviates caretaker stress and...
Jonathan Wishnick opened Senior Helpers of Chicago in 2009 so people who need assistance would get well trained, well managed, and smart assistants as a tribute to his mother. Jonathan makes sure every client is treated...
Senior In-Home Care Services From personal care to Alzheimer’s care to transportation, Home Instead® services make life easier for seniors and their families. Your local, independently owned and operated franchise office...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
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...
DK Healthcare Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homehealth, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Home Health Services, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carren Home Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cje Home Health Program is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angel Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Atlas Healthcare Management, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glory Home Health Care Management, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chicago Home Healthcare Agency, Ltd is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aspen Home Health Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beatrice Home Health, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acacia Home Health Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Family Health Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brighter Days Home Health Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Tree, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Axis Healthcare Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Bridge Family is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Directmed Health Services, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Crown Home Health Agency, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abbey St. Claire Quality Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Directcare Home Health, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Providence Home Health Agency Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dell Health Care Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ever Caring Home Health Nursing Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Professional Home Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Home Healthcare, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
F J Home Health Care Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACS Home Health Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Professionals Home Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers of Elmwood Park, we are dedicated to providing exceptional in-home care services that promote independence, dignity, and a higher quality of life for our clients. Our compassionate and highly trained...
Senior Helpers of Greater Chicagoland is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for...
Senior Helpers North Side Chicago is a mother and daughter run business. We are proud to be 100% female owned. We come from a big family and love being part of a business that supports and promotes the well being of...
Home & Hearth Caregivers is available 24/7 for you or your loved one. We serve Cook, DuPage, Kane, Kendall, Lake, McHenry and Will counties. Our experienced Care Plan Managers will be happy to provide a complimentary home...
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...
“COLLABORATION AND PARTNERSHIP EQUALS EXCELLENT CARE” Excellent Home Health Care, Inc (EHHCI) has been established for the sole purpose of providing individuals and their families with the best possible home health care...
Elara Caring - Chicago, IL is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace-Premier Home Care Services, Inc. offers compassionate and personalized in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
At Better Choice Home Health Inc., your trusted partner for compassionate, professional home health care services. Experience personalized care tailored to your needs, delivered with respect and dedication. Discover the...
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...
Has the time come to find care services for your loved one? While it's a difficult decision, it's an important one. You need to find someone trustworthy who can provide the necessary level of care for your loved one's...
Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Oak Park, extending into Chicago neighborhoods such as South Austin, West Garfield Park...
LSSI offers in home care to meet the changing needs of seniors. Services like home care extend the time that seniors can remain independent in their homes. By caring for seniors, LSSI alleviates caretaker stress and...
Jonathan Wishnick opened Senior Helpers of Chicago in 2009 so people who need assistance would get well trained, well managed, and smart assistants as a tribute to his mother. Jonathan makes sure every client is treated...
Senior In-Home Care Services From personal care to Alzheimer’s care to transportation, Home Instead® services make life easier for seniors and their families. Your local, independently owned and operated franchise office...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
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...
DK Healthcare Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homehealth, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Home Health Services, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carren Home Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cje Home Health Program is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angel Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Atlas Healthcare Management, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glory Home Health Care Management, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chicago Home Healthcare Agency, Ltd is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aspen Home Health Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beatrice Home Health, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acacia Home Health Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Family Health Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brighter Days Home Health Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Tree, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Axis Healthcare Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Bridge Family is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Directmed Health Services, LLC is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Crown Home Health Agency, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abbey St. Claire Quality Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Directcare Home Health, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Providence Home Health Agency Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dell Health Care Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ever Caring Home Health Nursing Agency is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Professional Home Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Home Healthcare, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
F J Home Health Care Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACS Home Health Services, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Professionals Home Care is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers of Elmwood Park, we are dedicated to providing exceptional in-home care services that promote independence, dignity, and a higher quality of life for our clients. Our compassionate and highly trained...
Senior Helpers of Greater Chicagoland is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for...
Senior Helpers North Side Chicago is a mother and daughter run business. We are proud to be 100% female owned. We come from a big family and love being part of a business that supports and promotes the well being of...
Compare Home Care Agency Costs & Services
×
Success!
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.