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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.*
✔
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:
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
Serenity Care and Compassion is Locally Operated, Licensed, Bonded, Insured, and have been providing compassionate care in Georgia For 15+ Years and are happy to provide services to older adults and children in need of...
Sahara Georgia Home Care LLC offers compassionate, personalized home care services to individuals in Georgia, ensuring comfort and support in their own homes with a focus on enhancing the quality of life for both patients...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
With Love Home Care LLC, Compassionate In-Home Care Services At With Love Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
North Georgia’s premier home health company, where we specialize in personalized care solutions for individuals in need. Our dedicated team views themselves as an extended support system for clients and their families,...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Jojo Home Care Services, Compassionate In-Home Care Services At Jojo Home Care Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
From delivering specialized home care to managing everyday tasks, or simply keeping your loved one company, we’ll work with you to develop a custom home care plan that compassionately responds to your loved one’s needs,...
Charlotte Web Private Home Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Edens Care, your trusted partner in providing exceptional in-home care and professional medical staffing solutions. With a passion for enhancing lives and a commitment to excellence, we are dedicated to...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
At Chapman & Friends Healthcare Providers of Georgia, we believe that every individual deserves compassionate and personalized care that is tailored to their unique needs. Our mission is to provide exceptional in-home...
Our Mission is to give quality care. We have our Nurses and Personal Care Assistants matched for compatibility. Companionship is key to a trusted relationship with our caregivers. With our home health care services, we...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
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...
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.
Safe Space Healthcare LLC is a home care provider that services in Duluth, GA. 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.
Silver Linings Home Care LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dementia Support Specialist was established over 8 years ago; however, the owner Cheryl, has over 30 years of experience in health care. As a Life Enrichment Director, Cheryl has been able to develop a comprehensive plan...
Staff Builders Home Health is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Agate Home Care is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lois Comfort Home Care is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CURA HOME CARE SERVICES LLC - DUPE is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When it comes to caregiving services, you can always depend on Elite Homecare Agency. Our caregivers are all knowledgeable, trained and experienced in providing round-the-clock care, assistance and support to your elderly...
Divine Home Nursing prides itself on having a dedicated and passionate team that will strive to deliver a sense of compassion, awereness, safety, and exceptional skilled and personal in home care to our clients. Why...
Dependable Homecare LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARE PLUS, INC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
Eunicon Homecare is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide professional Nursing, personal care and companionship services allowing our clients to safely remain in their own homes or senior living community. Nursing Care Wound care
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.
We hold ourselves accountable to the highest ethical standards demonstrating honesty, professionalism and sincerity staying true to our promises at all times. Acting in the best interests of of our clients, residents and...
Grace Homecare Service is a home care provider that services in Duluth, GA. 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....
Miryam Loving Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
River Oaks Healthcare System, Inc. is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With our heartfelt compassion, our caregivers don’t just assist with daily tasks; they form genuine connections. We understand that aging or dealing with health challenges can be overwhelming, so we approach each client...
Gees Hope Caring Agency - Duluth, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Denhavens PCH, Inc is a home care provider serving Duluth, GA 30096. Our services enable seniors to stay safely in their homes while receiving medical care or assistance with personal tasks. While service offerings vary,...
ABC Home Care Services, LLC stands out as the premier choice for those seeking compassionate and reliable home care. With a dedicated team of trained professionals, we prioritize the well-being and comfort of our clients...
Nurturing Caregivers In-Homecare LLC is a reliable provider of home care in Duluth, Georgia that serves seniors, people with disabilities, and individuals who are recovering from a severe injury or illness. We strive to...
1st Option Health Care LLC, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help at Home of Atlanta - North East, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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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.