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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.
✔
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:
FirstLight’s mission is to provide personalized and compassionate services to seniors, adults with disabilities, veterans, and those who just need a bit of help with their everyday needs.
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Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
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Acti-Kare of Arcadia, CA 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...
Alta Home Care is dedicated to providing personalized care that enriches the lives of our clients and helps them maintain the highest level of independence. Every Personal Attendant is carefully screened, selected, and...
Right at Home - Corona, CA - Duplicate is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Corona, CA is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our patients are our first priority. We provide superior care, compassionate care and access to the highest quality level of home care for patients in our surrounding community. Our goal is to be recognized for home care...
Atlantic Staffing Home Care Services is an in-home service provider that assists individuals and families. We are dedicated to helping our clients lead dignified, independent lifestyles in the comfort and safety of their...
Amada Senior Care of Corona, CA is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CADE'S HOME CARE SERVICES LLC is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tuscany Hills Health Care Services, Inc is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare of Corona, CA is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Commitment to Quality CareWe hold, with great regard, the fact that you are considering us to care for your family member or loved ones. Our care system utilizes a team of several staff professionals who conduct...
Amada Senior Care of Palm Springs, CA is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
“There’s no better feeling than Making Life Worthwhile for someone in need. Knowing we make a difference for our clients inspires us everyday to continue doing what we do”. -Jesse Hunt, CEO
At ACASA Senior Care - Newport Beach, we provide seniors and their families safety, comfort, and peace of mind through in-home care services in Newport Beach, CA. Family-owned and operated, we believe your loved ones...
AMPI'S ANGELS SENIOR HOME CARE is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AK of Arcadia is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Cades Home Care Services 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...
Lisma Care Services LLC, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their own...
Corona Regional Medical Center Hospice/Hha is a home care provider that services in Corona, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Based on the principle that everyone deserves to be treated with compassion and respect, our team of skilled healthcare professionals is dedicated to providing personalized care in the comfort of their own homes or in a...
Peter Shen is the owner of Amada Senior Care Corona, where he feels a strong commitment to each and every client. At Amada Corona, our goal is to provide superior senior care with a personal touch. This has earned us an...
A+ HomeCare Services is a premier provider of personalized in-home care, committed to enhancing the quality of life for individuals who need assistance with daily living activities. Our mission is to offer compassionate,...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We our licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
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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.