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:
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We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Columbia or in surrounding areas like Forest Acres, West Columbia, or St Andrews.
Seth Zamek and his team of professional caregivers have been providing high quality in-home care services to seniors in York, Chester, Kershaw and Lancaster counties since 2008. Whether you need access to companion care,...
Whether your needs are simple or challenging, Solutions for Living at Home can help you live a happier life by providing high quality assistance and care to individuals of all ages and varying circumstances. We are a...
Hands and Hearts Home Care - West Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers - Lexington, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Indeed Care, we provide professional and compassionate elderly care services in Columbia, South Carolina and the surrounding areas . We specialize in dementia care , personal care, medication reminders, mobility...
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...
CONNECTED HEARTS HOME CARE LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Health Mission Is to build relationships in our community with each individual, their families, and our employees. We will help our clients maintain and improve their independent living skills while receiving home...
Carepro Home Health is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Vision At Ablake Healthcare, our vision is to provide innovative care solutions that enhance the quality of life for our patients in their own home. We aim to be the leading agency in the industry, known for our...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Flourish Hands Healthcare Solutions, LLC can customize care to meet all your loved one’s specific needs. Our services are organized to provide comfort care so your elderly loved one can continue to live in their...
APSF Seniors Benefit Services, LLC is a home care provider that services in Columbia, SC. 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
Beautiful Beginnings Home Care, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carolina Home Health Care is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CHERISHED COMFORT HOME CARE is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client
A SENIOR SITTER SERVICE LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANDERSON HOME CARE of Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Abliss Healthcarae, our mission is to provide exceptional and compassionate home healthcare services that empower individuals to live with dignity, independence, and comfort in the familiarity of their own homes.
Hardy at Heart Home Care, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at Avodah Home Care We specialize in 24-Hour Home Care, Skilled Nursing Care, Companion Care at Home, Hospice Support, Hospital to Home Care, Personal Care at Home, and Respite Care. Also ask us about our Dementia...
Another Level In-Home Care LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Essential Home Care Services is a home care provider located in Columbia, SC. Tiana has been in the healthcare industry for over 7 years. Tiana and her caregivers are passionate about providing quality personal and...
ENHANCED TOUCH HOME HEALTHCARE & WELLNESS is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to help people live their best life possible. ComForCare of Midlands South Carolina is committed to providing outstanding customer service, and our personalized approach to care sets us apart. Our In-home...
Careon Home Care LLC (Careon) was formed by registered nurses who have managed healthcare experience with commercial insurers, Medicaid, Medicare, TRICARE and Veteran services. We are certified case managers (CCM) and...
We are a licensed home care agency serving clients in Georgia and South Carolina. Our mission is to provide high, quality nonmedical home care services to individuals with disabilities, persons experiencing or recovering...
Akin Home Care is dedicated to providing high-quality, personalized in-home care services for individuals who need assistance with daily living activities.
Bell's Home Care Professionals - Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affirmative Home Care is a leading provider of comprehensive home healthcare services, dedicated to enhancing the quality of life for individuals who require medical and non-medical assistance in the comfort of their homes.
Columbias Care Service LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Caring for Others, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Angelic Helpers of Columbia, SC, our mission is to uplift lives through acts of compassion, care, and community support. We are committed to being a guiding light for individuals and families facing challenges,...
Graceful In Home Care is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dependable Home Care LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Forest Acres, SC is a home care provider that services Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving assistance with personal care and other daily tasks.
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Blue Capital Homecare LLC / Angies Helping Hands is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of East Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Columbia or in surrounding areas like Forest Acres, West Columbia, or St Andrews.
Seth Zamek and his team of professional caregivers have been providing high quality in-home care services to seniors in York, Chester, Kershaw and Lancaster counties since 2008. Whether you need access to companion care,...
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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.