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:
At Precise Home Care Agency, we believe care should be personal. Our skilled and compassionate team provides reliable in-home support—from help with daily routines to companionship and specialized care—empowering clients...
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Attendant care provided by a personal care agency refers to non-medical, hands-on assistance with daily living activities for individuals who need help due to age, disability, or illness. This type of care is designed to...
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A Shining Star LLC is a dedicated service provider focused on delivering exceptional care and support tailored to meet the unique needs of each client. Whether it's in-home care, senior services, or personalized...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
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Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
Oasis of Love Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to individuals in need.
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Sigma Personal Care LLC offers personalized in-home care services tailored to meet the needs of seniors and individuals requiring assistance. Our compassionate caregivers focus on promoting comfort, independence, and...
Obstacles of Life LLC provides compassionate and supportive in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily living, personal care, and emotional support,...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
SLH Indiana Care LLP provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Arsell Home Care LLC offers compassionate, personalized in-home care services for seniors and individuals with disabilities. Our skilled caregivers assist with daily activities, provide medical support, and offer warm...
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
We Make A Difference In Senior Lives At Happy Homes Homecare, we are dedicated to providing exceptional in-home care for seniors. Our mission is to ensure that every senior receives the care, respect, and companionship...
At C & C Probity Home Care Services LLC, our mission is to provide compassionate and personalized home care services to our clients. We strive to improve the quality of life for those we serve, while prioritizing their...
Companion Care Connection is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurturing Neighbors LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SC HOMECARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B & B Maximum Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hearts Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeBase Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At A Loving Hands Family Care LLC, we understand the importance of compassionate and personalized care for your family members. Our mission is to provide exceptional non-medical in-home care services to clients in...
Lending Hands provides non-medical, home care services to clients, who may require assistance in their own homes and communities to assist in the maintenance and retention of their independence and well being. These...
KMK Care is a personal services agency, committed to enhancing the lives of individuals across the state of INDIANA. Our unwavering dedication to excellence, compassion, and integrity fuels our mission to improve the...
At Mary's Best Home Care, we understand that personalized care is essential to our clients' wellbeing. Our experienced professionals are dedicated to providing exceptional care services for seniors and individuals with...
Acti-Kare of Fishers, IN is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elevated Residence Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health Services is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a Personal Care Agency that provides personal home services to the rapidly growing retirement community. We are dedicated to providing our clients with high-quality care and assistance, so they can live comfortably...
Humblehands Loving Care LLC is a compassionate and reliable home care agency dedicated to providing personalized, high-quality care for individuals in the comfort of their own homes.
Kind at Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COZY CORNER HOME CARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wellspring Home Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hyperion Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gap Personal Services, LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission At Divinity Home Care, we tailor our care services to cater to the specific needs of our clients. We value each client's uniqueness and strive to assist them with assistance in their daily living. Let us help...
Julie’s Homecare, based in Indianapolis, IN, provides personalized in-home caregiving services to support independence, dignity, and quality of life. Our experienced team offers assistance with daily activities,...
Loving Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Yay Bella Homecare Agency is to provide exceptional non-medical in-home care services that promote independence, dignity, and quality of life for our clients. We are dedicated to delivering compassionate...
At Precise Home Care Agency, we believe care should be personal. Our skilled and compassionate team provides reliable in-home support—from help with daily routines to companionship and specialized care—empowering clients...
Gentle Home Personal Care in Indianapolis offers compassionate in-home assistance, tailored to each client's unique needs, ensuring comfort and independence. Our dedicated caregivers provide a nurturing environment,...
Attendant care provided by a personal care agency refers to non-medical, hands-on assistance with daily living activities for individuals who need help due to age, disability, or illness. This type of care is designed to...
At Divine Care Solutions LLC, we are dedicated to providing compassionate, personalized home care services that promote dignity, independence, and peace of mind. Whether you or your loved one need assistance with daily...
A Shining Star LLC is a dedicated service provider focused on delivering exceptional care and support tailored to meet the unique needs of each client. Whether it's in-home care, senior services, or personalized...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Residential Care LLC provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, promoting independence, comfort, and safety while enhancing the quality of life for...
Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
Oasis of Love Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to individuals in need.
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Sigma Personal Care LLC offers personalized in-home care services tailored to meet the needs of seniors and individuals requiring assistance. Our compassionate caregivers focus on promoting comfort, independence, and...
Obstacles of Life LLC provides compassionate and supportive in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily living, personal care, and emotional support,...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
SLH Indiana Care LLP provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Arsell Home Care LLC offers compassionate, personalized in-home care services for seniors and individuals with disabilities. Our skilled caregivers assist with daily activities, provide medical support, and offer warm...
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
We Make A Difference In Senior Lives At Happy Homes Homecare, we are dedicated to providing exceptional in-home care for seniors. Our mission is to ensure that every senior receives the care, respect, and companionship...
At C & C Probity Home Care Services LLC, our mission is to provide compassionate and personalized home care services to our clients. We strive to improve the quality of life for those we serve, while prioritizing their...
Companion Care Connection is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurturing Neighbors LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SC HOMECARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B & B Maximum Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hearts Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeBase Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At A Loving Hands Family Care LLC, we understand the importance of compassionate and personalized care for your family members. Our mission is to provide exceptional non-medical in-home care services to clients in...
Lending Hands provides non-medical, home care services to clients, who may require assistance in their own homes and communities to assist in the maintenance and retention of their independence and well being. These...
KMK Care is a personal services agency, committed to enhancing the lives of individuals across the state of INDIANA. Our unwavering dedication to excellence, compassion, and integrity fuels our mission to improve the...
At Mary's Best Home Care, we understand that personalized care is essential to our clients' wellbeing. Our experienced professionals are dedicated to providing exceptional care services for seniors and individuals with...
Acti-Kare of Fishers, IN is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elevated Residence Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health Services is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a Personal Care Agency that provides personal home services to the rapidly growing retirement community. We are dedicated to providing our clients with high-quality care and assistance, so they can live comfortably...
Humblehands Loving Care LLC is a compassionate and reliable home care agency dedicated to providing personalized, high-quality care for individuals in the comfort of their own homes.
Kind at Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COZY CORNER HOME CARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wellspring Home Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hyperion Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gap Personal Services, LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission At Divinity Home Care, we tailor our care services to cater to the specific needs of our clients. We value each client's uniqueness and strive to assist them with assistance in their daily living. Let us help...
Julie’s Homecare, based in Indianapolis, IN, provides personalized in-home caregiving services to support independence, dignity, and quality of life. Our experienced team offers assistance with daily activities,...
Loving Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Yay Bella Homecare Agency is to provide exceptional non-medical in-home care services that promote independence, dignity, and quality of life for our clients. We are dedicated to delivering compassionate...
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.