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:
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Midtown Raleigh / Durham, NC area, please...
Our mission is to provide quality in-home aide and companion services to clients and their families at home and/or facility. Our compassionate staff focuses on maintaining respect, integrity and safety while promoting...
Grant Your Wish Home Care is a family-owned business in North Carolina that began in 2020 through the COVID-19 pandemic. The company is owned by Christina Grant and H. Grant, who work together in running their home care...
Licensed for Hands on Care and Companion Services Fully Insured Licensed by the Department of Health and Human Services Division of Health Services Regulation Covering 14 counties out the Raleigh office: Wake, Alamance,...
Highly Favored Family, LLC - Home care is more than just a service; it’s a commitment to providing compassionate, attentive support to those in need. We believe in treating every individual with integrity, ensuring their...
We believe seniors deserve to choose how, when, and where they receive care. We understand true comfort comes when people feel seen and understood. Our process is to put you and your loved one in the center.
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
OG Healthcare provides non-medical in-home care with years of experience, helping seniors and individuals with disabilities maintain independence. Our compassionate caregivers assist with daily tasks, ensuring safety,...
Tender Loving Touch Senior Care is a home care provider that services Raleigh, NC 27609. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
Our Story Home—there’s no place like it. It’s where your memories are. Where you raised your family and where friends have gathered for life’s celebrations. It’s been your basecamp through good times and bad. And it’s...
At Griswold Home Care for Raleigh, we offer compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and integrity, we focus on...
Priority Home Care and Home Health is a compassionate and client-centered healthcare service provider dedicated to delivering high-quality, personalized care in the comfort of patients' homes.
You’ve probably seen it with loved ones. An elderly person checks out of a hospital or nursing home only to be readmitted within a few months. During the transition, medications weren’t taken, doctor appointments...
Our comprehensive home care is customized for seniors based on their individual needs and preferences. Our dedicated and reliable caregivers have helped thousands of older adults live happily and safely in the comforts of...
At Senior Helpers of Holly Springs, we specialize in providing personalized, non-medical care tailored towards meeting the unique needs of each individual client. Our mission is to foster independence while ensuring...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
We create sustainable solutions for our seniors and nurturing them in their daily lives in the comfort of their homes is what we envision. We position ourselves to help seniors live happily in the comfort of their homes...
QUALITY SENIOR CARE AT HOME The Senior Care market is a rapidly expanding industry that continues to be competitive. We differentiate ourselves every day with the quality of our senior care services, how we speak and how...
Hepher Care Services, LLC is a home care provider that services in Garner, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a medical staffing agency as well as a home health care agency. We pride our self in offering lots of diversity. This agency was established June of 2021 in honor of our founder's grandfather. RL's stands for...
McNeill's Home Care 1, LLC is a home care provider that services in Garner, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Monisys Services is a private-pay, licensed companion care provider headquartered in Garner, NC. Our mission is to promote sustained success at home through individualized patient-centered care. We know that you want...
Professional Nursing Service A is a home care provider that services in Garner, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At JJ HomeCare, we believe that every client deserves to be treated with dignity and respect. Our philosophy centers around providing compassionate care that is tailored to each client`s unique needs.
Avidity Integrated Care is a home care provider that services in Garner, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Conkel Image, Inc. is a home care provider that services in Garner, NC. 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 Raleigh or in surrounding areas like Wake Forest, Garner, or Forest Hills.
Options For Senior America - Cary is a home care provider that services in Garner, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Dynamic Home Healthcare LLC, of North Carolina services includes a wide range of professional health services that can be delivered to the home of a recovering, disabled, or chronically ill person in need of medical,...
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.