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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:
Quality 1ST SC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EPIC IN - HOME CARE LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARING HOME CARE is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAMELLIA'S HOME CARE is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Health Services of Chs is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
All Ways Caring HomeCare offers homecare for people of all ages and different needs. Our individualized services make us able to provide the right care at the right time, always. The All Ways Caring difference is our...
Care Xpert Home Care LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Camellia`s Home Care of Rockhill LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
BLESSING BEYOND BLESSING HOMECARE LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Citizens Association in Florence is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Serenity Homecare Agency LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Care is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mcleod Home Health Inc is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over a decade New Generations Home Care has provided the highest quality care for clients who suffer from chronic illness and disabilities. We provide nonmedical custodial care which has allowed hundreds of clients 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.
CARING FOR YOU SERVICES LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that not one care plan fits all. Daily services can include anything from meal preparation, hygiene, cleaning, and supervision. We will take the time to get to know you and develop an individualized care...
Absolute Health Care’s Staff is growing and setting high standards in the community of providers for homecare services. Our staff at Absolute Health Care are committed and diligent workers who devote their time and...
How live-in care works A live-in caregiver stays in the home 24 hours a day, and is available to assist morning, noon and night. If we provide live-in care for 7 days a week, we assign a primary caregiver and a back-up...
Tender Care Home Health Svc is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dhec Region 4 Home Health Svs - East is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving is proud to serve Florence and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing...
Florence Visiting Nurses Servi is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Due to good work ethics, we have grown through word-of-mouth referrals in SC (including Florence, Charleston & Myrtle Beach) over the last 10 years and maintained our quality assurance for each and every client. This...
DIVINITY CARE is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PEOPLES HOME CARE LLC is a home care provider that services in Florence, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KIND TOUCH HOME CARE is a home care provider that services in Florence, SC. 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...
Humble and Pure Hearts Homecare offers compassionate and professional in-home care services. Specializing in elderly and disabled care, they provide assistance with daily activities, medical support, and companionship....
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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.